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

Mary Lynn Johnson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1003493826

Mary Lynn Johnson is a Psychiatric/Mental Health Nurse Practitioner in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1505 48th St
Boulder, CO 80303-1143
Phone: (303) 506-9439
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 APN.1002166-NP (CO)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 0094898 (CO)

Record details

NPI number1003493826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1505 48th St, Boulder, CO 80303-1143

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