Individual
DAVID P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
540 HOSPITAL DR, WINAMAC, IN 46996-1173
(574) 946-2194
(546) 946-2143
Mailing address
10229 CARRIAGE CT, PLYMOUTH, IN 46563-9191
(574) 936-1916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013448A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71013448A
APRN PRECRIPTION AUTHORITY
IN
Enumeration date
01/09/2023
Last updated
09/08/2025
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