Provider Demographics
NPI:1144990532
Name:JOHNSON, DARCI F (NP)
Entity type:Individual
Prefix:
First Name:DARCI
Middle Name:F
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7521 POLAR BEAR TRL
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-5407
Mailing Address - Country:US
Mailing Address - Phone:608-215-7696
Mailing Address - Fax:
Practice Address - Street 1:1310 MENDOTA ST STE 119
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53714-1095
Practice Address - Country:US
Practice Address - Phone:608-747-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021117363L00000X
VA0024190760363L00000X
IL209025667363L00000X
KY4020454363L00000X
NVPR17909363L00000X
ID6961375363L00000X
MO2024028937363L00000X, 363LF0000X
WI10866-33363L00000X
OR10029935363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner