Individual
MS. JINTU JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-1010
(847) 733-5108
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 826-7159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015424
IL
363LF0000X
Family Nurse Practitioner
209.015424
IL
Other
Enumeration date
02/27/2017
Last updated
04/09/2026
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