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General NPI Number Information
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NPI Number | 1235575788
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Entity Type | Individual
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Provider Name | ADRIENNE JANE JOHNSON ANP,FNP-BC,APRN, MSN
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Gender | Female
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1200 AIRPORT HEIGHTS DR STE 240
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City | ANCHORAGE
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State | AK
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Zip | 99508-2970
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Country | US
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Telephone | 907-290-4666
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Fax | 907-921-5151
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Provider Business Mailing Address
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Address Line | 5598 KENAI FJORDS LOOP
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City | ANCHORAGE
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State | AK
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Zip | 99502-4047
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Country | US
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Telephone | 907-952-2296
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Fax | 907-921-5151
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1359
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License Number State | AK
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