Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVELIA JOHNSEN NP
NPI 1760017206
Nurse Practitioner - Family in Pooler, GA

Q: What is Evelia Johnsen's NPI number?

The NPI number for Evelia Johnsen is 1760017206. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Q: What is Evelia Johnsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evelia Johnsen was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since March 05, 2020

200 BLUE MOON XING STE 102, POOLER, GA 31322(912) 925-6911(912) 330-4060 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2026, Jan 6, 2025, Dec 15, 2023 and 1 more (4 updates tracked since 2020).

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About Evelia Johnsen Np NPPES

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

EVELIA JOHNSEN NP (NPI 1760017206) is an individual family provider in Pooler, Georgia, licensed in Georgia (265163) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1760017206

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEVELIA JOHNSENCredential: NP

Location Address200 BLUE MOON XING STE 102Pooler, GA 31322-9698

Mailing Address200 Blue Moon Xing Ste 102Pooler, GA 31322-9698 · (912) 925-6911 · Fax (912) 330-4060

Phone(912) 925-6911

Fax(912) 330-4060

Sole ProprietorNo

Enumeration DateMarch 5, 2020

Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1760017206 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 GA · 265163

200 BLUE MOON XING STE 102, Pooler, GA 31322

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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 Evelia Johnsen's NPI number?

The NPI number for Evelia Johnsen is 1760017206. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Evelia Johnsen located?

Evelia Johnsen practices at 200 Blue Moon Xing Ste 102, Pooler, GA 31322. The listed phone number is (912) 925-6911.

What is Evelia Johnsen'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 Evelia Johnsen was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.