Individual
SHELLEY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4817 COPPER LEAF BLVD, MOUNT PLEASANT, WI 53403-4100
(307) 331-0855
(262) 577-8321
Mailing address
4817 COPPER LEAF BLVD, MOUNT PLEASANT, WI 53403-4100
(307) 331-0855
(262) 577-8412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3976
WI
363LF0000X
Family Nurse Practitioner
1750603130
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2025070556
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750603130
—
WI
01
—
K400194647
MEDICARE( FROEDTERT SOUTH)
WI
Enumeration date
02/25/2010
Last updated
03/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us