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General NPI Number Information
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NPI Number | 1245175280
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Entity Type | Individual
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Provider Name | ASHLEY NICOLETTE JOHNSON FNP
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Gender | Female
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 4205 KITSAP WAY
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City | BREMERTON
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State | WA
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Zip | 98312-2447
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Country | US
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Telephone | 360-782-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 80 E COMPASS LANE PO BOX 92
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City | ALLYN
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State | WA
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Zip | 98524
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Country | US
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Telephone | 240-405-2710
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Fax |
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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 | AP70089306
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License Number State | WA
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