IndividualActive
Hannah Johnson, AGACNP
NPI 1013620376 · Critical Care Medicine Nurse Practitioner · Urbana, IL
Provider details
- NPI number
- 1013620376
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209026664 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3311
Approximate (ZIP-level) locationGet directions
Mailing address
611 W. Park St.
Urbana, IL 61801
Registry dates
- Enumerated
- 2023-01-03
- Last updated
- 2023-05-04
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.