Individual
LISA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7110 F ST, OMAHA, NE 68117-1014
(402) 595-1326
Mailing address
22014 GILES RD, GRETNA, NE 68028-4017
(402) 595-1326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
39326
NE
363LF0000X
Family Nurse Practitioner
1772
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078905413
—
NE
Enumeration date
11/01/2006
Last updated
09/11/2025
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