Individual
ASHLEY R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2100 N MAIN ST # 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
1444 SOUTHVIEW DR, INDIANAPOLIS, IN 46227-5028
(317) 625-6945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28236890A
IN
363LF0000X
Family Nurse Practitioner
53-85272-081
KS
363LF0000X
Family Nurse Practitioner
Primary
71014073A
IN
Other
Enumeration date
01/17/2023
Last updated
03/27/2026
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