Individual
DR. NICOLE NADENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, RN
Contact information
Practice address
5925 E 71ST ST, INDIANAPOLIS, IN 46220-4003
(317) 845-9072
Mailing address
5925 E 71ST ST, INDIANAPOLIS, IN 46220-4003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28193372A
IN
363LF0000X
Family Nurse Practitioner
28193372A
IN
363LF0000X
Family Nurse Practitioner
Primary
71017983A
IN
Other
Enumeration date
11/06/2025
Last updated
05/10/2026
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