Healthcare Provider Details

I. General information

NPI: 1134030802
Provider Name (Legal Business Name): BRITTANY N JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

947 ADAIR AVE
ZANESVILLE OH
43701-2841
US

IV. Provider business mailing address

1154 COLLEGE RD
SYRACUSE OH
45779-5212
US

V. Phone/Fax

Practice location:
  • Phone: 740-614-6841
  • Fax:
Mailing address:
  • Phone: 740-416-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: