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MOLLY T JOHNSON FNP-BC
NPI 1386727519
Nurse Practitioner - Family in Carbondale, IL

Active since October 23, 2006
305 W JACKSON ST, STE 200, CARBONDALE, IL 62901(618) 453-3777(618) 453-1102 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2018, Oct 12, 2016 (2 updates tracked since 2016).

About Molly T Johnson Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY T JOHNSON FNP-BC (NPI 1386727519) is an individual family provider in Carbondale, Illinois, licensed in Illinois (209-000639) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1386727519
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMOLLY T JOHNSONCredential: FNP-BC
Location Address305 W JACKSON ST, STE 200Carbondale, IL 62901-1474
Mailing Address2601 W Main StCarbondale, IL 62901-1031 · (618) 549-5361 · Fax (618) 351-4878
Phone(618) 453-3777
Fax(618) 453-1102
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 20, 20182 updates tracked since enumeration
✔ NPI 1386727519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209-000639
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 209-000639 (IL)
305 W JACKSON ST, Carbondale, IL 62901
Open in Google Maps ↗

Other Identifiers 1

Medicaid$$$$$$$$$001IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRADLEY C. BRUSH A.T.C., C.S.C.S.
Specialist/Technologist (Athletic Trainer)
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Jackson County (618) 549-0721
STOKES INSTITUTE OF UROLOGY, LLC
Specialist
305 W JACKSON ST, SUITE 400
CARBONDALE, IL 62901
Jackson County (618) 351-9300
MR. MICHAEL LEROY MATTESON PA C
Physician Assistant (Surgical)
305 W JACKSON ST, SUITE 105
CARBONDALE, IL 62901
Jackson County (618) 536-2565
L. NEAL MCCAIN, M.D, LTD.
Surgery
305 W JACKSON ST, SUITE 302
CARBONDALE, IL 62901
Jackson County (618) 529-1770
SCOTT K SCHONEWOLF M.D.
Family Medicine
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Jackson County (618) 453-3777
LAURA E CHANDLER MS/CCC-SLP
Speech-Language Pathologist
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Jackson County (618) 529-0516
KUSHAN D. MOONESINGHE M.D.
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
KYAW T NAING M.D., PH.D.
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Johnson's NPI number?

The NPI number for Molly Johnson is 1386727519. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Molly Johnson located?

Molly Johnson practices at 305 W Jackson St Ste 200, Carbondale, IL 62901. The listed phone number is (618) 453-3777.

What is Molly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Molly Johnson was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.