MEDICARE: MARCIA JOHNSON N.P.

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	146D00000X	Personal Emergency Response Attendant	COA 11637-NP	OH
2	363L00000X	Nurse Practitioner	APRNCNP11637	OH
3	363L00000X	Nurse Practitioner	28214923A	IN

General Provider Information

NPI Number	:	1770897514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA JOHNSON N.P.

Provider Business Mailing Address
First Line	:	7145 RUWES OAK DR.
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248
Country	:	US
Telephone Number	:	513-574-2224
Fax Number	:

Provider Business Practice Location Address
First Line	:	7123 PEARL RD STE 201
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-4944
Country	:	US
Telephone Number	:	440-842-7990
Fax Number	:

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

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	02/02/2026

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Directions to “ MARCIA JOHNSON N.P.” Practice Location

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