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

Telisha Johnson, APRN

Individual provider Family Nurse Practitioner · NPI 1770066086

Telisha Johnson, APRN is a Nurse Practitioner in Upper Marlboro, Maryland. Qualified in 2018, 8 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

7600 SE Crain Hwy
Upper Marlboro, MD 20772-4232
Phone: (301) 627-6603
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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 AC002448 (MD)

Record details

NPI number1770066086
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESJuly 10, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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