Search › Illinois › 163WA2000X
Latravia Johnson, FNP
NPI 1295687663 · on the registry since 2026 · sole proprietor
Practice
- Address
- 6749 Pine Lake Dr
Tinley Park, IL 60477 - Phone
- (708) 381-9315
Registry record
- Primary taxonomy
- 163WA2000X
163WA2000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois