Individual
AMELIA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
135 NORTH ROAD, WILTON FAMILY MEDICINE, WILTON, NY 12831-1308
(518) 926-1935
(518) 926-4804
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402441
LICENSE
NY
Enumeration date
07/11/2018
Last updated
04/13/2026
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