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NPI Code Detail

MEDICARE: SHELBY LEIGH JOHNSON

MEDICARE:   SHELBY LEIGH JOHNSON
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0029034OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841869369
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY LEIGH JOHNSON
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 209 N CHILLICOTHE ST
Second Line :
City : PLAIN CITY
State : OH
Zip : 43064-1045
Country : US
Telephone Number : 614-873-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2021
Last Update Date : 04/23/2025

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Directions to “ SHELBY LEIGH JOHNSON ” Practice Location

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