Kristy D. Johnson, NP-C
Individual provider Active NPI Family Nurse Practitioner · Bono, AR
NPI 1174874366 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1174874366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A003729 (AR)
- Practice address
- 9146 Highway 63 N
Bono, AR 72416-8153 - Phone
- (870) 930-9990
- NPI assigned
- Sep 27, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A003729 | AR | Yes |
Addresses
Primary practice location
9146 Highway 63 N
Bono, AR 72416-8153
Mailing address
9146 Highway 63 N
Bono, AR 72416-8153
Phone (870) 930-9990
Other providers in Bono, AR
- Healing Hands Primary Care LLC
- Laura Michelle Hernandez
- Tiffany Paige Holcomb
- Courtney Reese Johnson
- Jocelyn Johnson
- Gaylon Jones
- Jonesboro Pediatric Therapy, Inc.
- Hannah Jordan
- Emma Jung
- Gracie Jane Lee
All providers in Bono, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.