Individual
TERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1006 S DIVISION ST, CARTERVILLE, IL 62918-1539
(618) 519-9200
(618) 985-3774
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-0577
(161) 851-9920
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014846
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209.014846
IL
Other
Enumeration date
07/05/2017
Last updated
01/14/2026
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