IndividualActive
Dedrick Johnson
NPI 1326857012 · Adult Health Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1326857012
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 82229 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Phone: (505) 272-2111
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 15442
Rio Rancho, NM 87174-0442
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.