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General NPI Number Information
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NPI Number | 1295717627
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Entity Type | Individual
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Provider Name | BEVERLY ANN JOHNSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2005
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4100 GOSS RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35809-0001
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Country | US
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Telephone | 256-955-8888
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Fax | 256-876-3333
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Provider Business Mailing Address
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Address Line | 122 FEATHERSTONE LN SE
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-9700
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Country | US
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Telephone | 256-468-5326
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Fax | 256-876-3333
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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 | 1029057
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License Number State | AL
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