Individual
KELLY ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 578-7457
Mailing address
51 PAUL REVERE RD, OIL CITY, PA 16301-2568
(814) 676-4703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015399
PA
363LF0000X
Family Nurse Practitioner
SP015399
PA
Other
Enumeration date
09/24/2015
Last updated
01/03/2026
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