Individual
SUNNY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1506 OSOLO ROAD, STE A, ELKHART, IN 46514-4122
(574) 295-1131
(574) 524-8211
Mailing address
3245 HEALTH DR., STE 100, GRANGER, IN 46530-1380
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2019034656
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019034656
LICENSE
IN
Enumeration date
12/03/2019
Last updated
02/17/2026
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