Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Marie Johnson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1083196554

Kelly Marie Johnson, FNP-C is a Family Nurse Practitioner in Northbrook, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

40 Skokie Blvd
Northbrook, IL 60062-1601
Phone: (847) 291-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 737 N Michigan Ave Ste 600, Chicago, IL 60611-6662 — (312) 440-3810

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.017943 (IL)

Record details

NPI number1083196554
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 31, 2018
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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