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

Dr. Nicole Janine Johnson

Individual provider Pediatrics Physician · NPI 1992961254

Dr. Nicole Janine Johnson is a Pediatrics Physician in Lakewood, Washington. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036
Phone: (253) 589-7030
Fax: (253) 589-7033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125-055020 (IL)

Record details

NPI number1992961254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2008
Last updated in NPPESDecember 7, 2015

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