IndividualActive
Amiya Johnson, APRN
NPI 1871371633 · Psychiatric/Mental Health Nurse Practitioner · Kenosha, WI
Provider details
- NPI number
- 1871371633
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 041.518035 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1400 75th St
Kenosha, WI 53143-1544
Phone: (262) 909-6008
Approximate (ZIP-level) locationGet directions
Mailing address
1400 75th St
Kenosha, WI 53143-1544
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.