IndividualActive
Luanne Johnson, NURSE PRACTITIONER
NPI 1922096601 · Nurse Practitioner · Augusta, IL
Provider details
- NPI number
- 1922096601
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- A060889 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
204 Center St
Augusta, IL 62311-1228
Phone: (217) 392-2108
Fax: (217) 392-2110
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 160
Carthage, IL 62321-0160
Registry dates
- Enumerated
- 2005-10-07
- Last updated
- 2015-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.