Organization
KJ WELLNESS NP IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JOHNSON NP, RN (OWNER)
(631) 336-0190
Entity
Organization
Contact information
Practice address
445 BROADHOLLOW RD STE 25, SUITE 25, MELVILLE, NY 11747-3645
(631) 223-8852
(631) 350-0331
Mailing address
445 BROADHOLLOW RD STE 25, MELVILLE, NY 11747-3645
(631) 336-0190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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