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

Eliza Johnson, BSRTR, RN, CPNP-PC

Individual provider Primary Care Nurse Practitioner · NPI 1558199638

Eliza Johnson, BSRTR, RN, CPNP-PC is a Primary Care Nurse Practitioner in Queens, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

47-01 Queens Blvd #303
Queens, NY 11104
Phone: (718) 707-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 383686 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 383686 (NY)

Record details

NPI number1558199638
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSRTR , RN , CPNP-PC
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

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