Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tracie Denie Johnson-Wagner, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578064382

Dr. Tracie Denie Johnson-Wagner, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona and Colorado. Registered with an NPI since 2018.

Licensed in
AZ, CO
In the registry since
2018
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

7330 N 16th St Ste C115
Phoenix, AZ 85020-8209
Phone: (646) 941-7645
Fax: (929) 596-7897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP11024 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence C-RXN.0002422-C-NP (CO)

Record details

NPI number1578064382
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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