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

Sheree Johnson

Individual provider Primary Care Nurse Practitioner · NPI 1770322992

Sheree Johnson is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Impact Health PC, a 79-clinician group. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1832 E Pastorius St
Philadelphia, PA 19138-1204
Phone: (484) 848-4731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP029769 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence SP029769 (PA)

Record details

NPI number1770322992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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