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

Jodi L Johnson, CRNP

Individual provider Nurse Practitioner · NPI 1639137821

Jodi L Johnson, CRNP is a Nurse Practitioner in Mechanicsburg, Pennsylvania. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
24
Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1700 Bent Creek Blvd Ste 210
Mechanicsburg, PA 17050-1870
Phone: (717) 791-2640
Fax: (717) 791-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP007500 (PA)

Record details

NPI number1639137821
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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