Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coretta Y Johnson, REGISTEREDNURSE

Individual provider Home Health Registered Nurse · NPI 1679355796

Coretta Y Johnson, REGISTEREDNURSE is a Home Health Registered Nurse in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
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Practice location Address checks out

6226 La Pas Trl
Indianapolis, IN 46268-2509
Phone: (317) 504-4924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 28195918A (IN)

Record details

NPI number1679355796
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESApril 27, 2024
Certification dateApril 27, 2024

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