National Provider Identifier
Nathaniel Johnson, PMHNP-BC
Nathaniel Johnson, PMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 702-2612.
Profile Overview
- NPI
- 1124715222
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- April 19, 2023
- Last Updated
- March 19, 2024
Practice Location
- 2613 W Henrietta RD Ste F
- Rochester, NY 14623-2327
Phone: (585) 702-2612
Mailing Address
- 23 Bateau Ter
- Rochester, NY 14617-1201
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1124715222
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Nathaniel
- Credential
- PMHNP-BC
- Mailing Street Address
- 23 Bateau Ter
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-1201
- Mailing Country
- US
- Mailing Phone
- (585) 703-2612
- Practice Street Address
- 2613 W Henrietta RD Ste F
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2327
- Practice Country
- US
- Practice Phone
- (585) 702-2612
- Enumeration Date
- April 19, 2023
- Last Updated
- March 19, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)