Melissa K. Johnson, NP-C
Nurse Practitioner · Peoria, IL
UnclaimedNP-CNPI 1942744495
- Primary taxonomy
- 363L00000X
- Enumerated
- 2016-12-16
- Practice location
- Peoria, IL
- Last NPPES update
- 2025-10-30
State licenses
- IA · Nurse practitioner · NPPES self-reportedListed on NPI record
- IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 2006
- IL · Nurse practitioner · ADVANCED PRACTICE REGISTERED NURSEExpiredthrough 2020
- IL · Nurse practitioner · FULL PRACTICE AUTHORITY APRNActivethrough 2028
- IL · Nurse practitioner · NPPES self-reportedListed on NPI record
- IL · Registered nurse · REGISTERED PROFESSIONAL NURSEActivethrough 2028
- IL · Registered nurse · REGISTERED PROFESSIONAL NURSEExpiredthrough 2016
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.