KENRA EARLINE JOHNSON FNP-C NPI 1033506100

NPI Information

  • NPI: 1033506100
  • Provider Name: KENRA EARLINE JOHNSON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 19805 N 51ST AVE STE 33
    GLENDALE, AZ
    ZIP 85308
  • Phone: (480) 209-2849

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NPI Details

Kenra Earline Johnson, FNP-C is a family nurse practitioner in Glendale, AZ. Kenra Earline Johnson, FNP-C NPI is 1033506100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19805 N 51ST AVE STE 33
GLENDALE, AZ
ZIP 85308-198
Phone: (480) 209-2849

The enumeration date for this NPI number is 4/16/2015 and was last updated on 5/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP5624ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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