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

Johnnie Dominica Johnson, FNP

Individual provider Adult Health Nurse Practitioner · NPI 1043601057

Johnnie Dominica Johnson, FNP is a Nurse Practitioner in South Holland, Illinois. Qualified in 2014, 12 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

100 W 162nd St
South Holland, IL 60473-2003
Phone: (708) 730-2200
Show map & directions

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

Additional practice locations (1)

  • 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 — (847) 719-2220

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277-001345 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 277001345 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209012407 (IL)

Record details

NPI number1043601057
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 12, 2015
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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