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General NPI Number Information
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NPI Number | 1023981610
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Entity Type | Individual
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Provider Name | JANELLE JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 300 MAIN ST STE 302A
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2470
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Country | US
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Telephone | 970-200-4417
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Fax |
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Provider Business Mailing Address
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Address Line | 300 MAIN ST STE 302A
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2470
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Country | US
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Telephone | 970-200-4417
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Fax | 872-241-0359
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APN.1001243-NP
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License Number State | CO
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