IndividualActive
Heidi Johnson, REGISTERED NURSE
NPI 1861992851 · Psychiatric/Mental Health Registered Nurse · Peoria, IL
Provider details
- NPI number
- 1861992851
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- 041414240 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
7717 N Orange Prairie Rd
Peoria, IL 61615-9323
Phone: (309) 589-6800
Approximate (ZIP-level) locationGet directions
Mailing address
919 N Broad St
Galesburg, IL 61401-2724
Registry dates
- Enumerated
- 2018-02-15
- Last updated
- 2018-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.