Individual
KAREN A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD, SUITE 610, INDIANAPOLIS, IN 46202-1228
(317) 396-1462
(317) 924-8472
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28140691A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71002472A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000719550
ANTHEM PTAN
IN
05
—
200870050
—
IN
Enumeration date
07/04/2007
Last updated
02/12/2025
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