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

Nathaniel Johnson, PMHNP-BC

Individual provider Registered Nurse · NPI 1124715222

Nathaniel Johnson, PMHNP-BC is a Registered Nurse in Rochester, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2613 W Henrietta Rd Ste F
Rochester, NY 14623-2327
Phone: (585) 702-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404969 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 758875 (NY)

Record details

NPI number1124715222
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 19, 2023
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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