AMANDA BRODIE JOHNSON FNP-BC
NPI 1629922398
Nurse Practitioner - Family in Yuma, AZ
Active since February 20, 2026
About Amanda Brodie Johnson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA BRODIE JOHNSON FNP-BC (NPI 1629922398) is an individual family provider in Yuma, Arizona, licensed in Arizona (RN140175) and active in the NPI registry since February 2026.
NPPES Registry Identity
NPI1629922398
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA BRODIE JOHNSONCredential: FNP-BC
Location Address11463 S FOOTHILLS BLVDYuma, AZ 85367-5701
Mailing Address3629 S Plowman DrYuma, AZ 85365-6721
Phone(928) 955-0189
Sole ProprietorYes
Enumeration DateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1629922398 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RN140175
11463 S FOOTHILLS BLVD, Yuma, AZ 85367
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629922398, enumerated as an "individual" on February 20, 2026.
The provider is located at 11463 S FOOTHILLS BLVD YUMA, AZ 85367 and the phone number is (928) 955-0189.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
