Individual
MEREDITH N. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9080 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1750
(502) 491-8805
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(502) 873-1260
(502) 873-1261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28197992A
IN
363LF0000X
Family Nurse Practitioner
Primary
3012674
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300000287
—
IN
01
—
IN1189162
IN MEDICARE
IN
Enumeration date
01/16/2017
Last updated
07/01/2025
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