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

Holly Johnson

Individual provider Registered Nurse · NPI 1124475058

Holly Johnson is a Nurse Practitioner in Escanaba, Michigan. Qualified in 2016, 10 years ago. Practices with St Francis Hospital, a 85-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3409 Ludington St Ste 100
Escanaba, MI 49829-4212
Phone: (906) 789-4414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704278219 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704278219 (MI)

Record details

NPI number1124475058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESJune 27, 2017
Mailing address3409 Ludington St, Suite 100, Escanaba, MI 49829-4212

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Francis Hospital — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Escanaba