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

Holly Lynn Johnson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174115455

Holly Lynn Johnson is a Nurse Practitioner in Mentor, Ohio. Qualified in 2020, 6 years ago. Practices with Gma Consultants Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021

Practice location Address checks out

8701 Mentor Ave
Mentor, OH 44060-6103
Phone: (440) 221-9969
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0028213 (OH)

Record details

NPI number1174115455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021
Mailing address10431 Kile Rd, Chardon, OH 44024-9582

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Gma Consultants Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mentor