| Doctor Name: | CYNTHIA LYNNE JOHNSON |
| NPI Number: | 1265749972 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | H-085217 |
| Business Practice Address: | 303 N Jackson St Morrison, IL - 612703042 |
| Business Phone Number: | 8157724003 |
| Business Fax Number: | 8157725599 |
| Mailing Address: | 303 N Jackson St, MORRISON |
| State: | IL |
| Postal Code: | 612703042 |
| Phone Number: | 8157724003 |
| Fax Number: | 8157725599 |
| NPI Enumeration Date: | 09/02/2010 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | H-085217 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |