MEDICARE: KAPRI JOHNSON DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	776116	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	407889	NY

General Provider Information

NPI Number	:	1235711961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAPRI JOHNSON DNP

Provider Business Mailing Address
First Line	:	400 FORT HILL AVE
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1159
Country	:	US
Telephone Number	:	585-393-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 FORT HILL AVE
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1159
Country	:	US
Telephone Number	:	585-393-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	12/09/2025

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