Haley Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

127017 Issued in WV

Practice address

77 Hospital Dr Ste 100
Logan, WV 25601-3451

Phone

(304) 896-5200

NPI assigned

Jul 30, 2026

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1073436994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 RIGHT FORK BENS CREEK ROAD",
            "address_2": "280 RIGHT FORK BENS CREEK ROAD",
            "city": "WHARNCLIFFE",
            "state": "WV",
            "postal_code": "25651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL DR STE 100",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013451",
            "telephone_number": "304-896-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "127017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S. McCoy Susan Fowler Goodwin D.D.S. Inc.
• Kenneth Jeffrey
• Sharon K. Jeffrey, LICSW
• Jolisha Jenkins
• Corey Dillan Johnson
• Staci Johnson, ED.S., NCSP
• Jason Matthew Jones, M.ED, LPC
• Kaitlyn Sue Jones, M.ED
• Alexandria Jordan
• Christine Justice

• Family Nurse Practitioner in Logan, WV
• Providers in Logan, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.