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NPI Code Detail

MEDICARE: MRS. KATHLEEN ANN JOHNSON CRNP

MEDICARE: MRS. KATHLEEN ANN JOHNSON CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP024770PA
2163W00000XRegistered NurseRN689230PA

General Provider Information

NPI Number : 1134887615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN ANN JOHNSON CRNP
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2639
Country : US
Telephone Number : 614-722-2000
Fax Number : 614-355-4497
Provider Business Practice Location Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2639
Country : US
Telephone Number : 614-722-2000
Fax Number : 614-355-4497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2021
Last Update Date : 12/08/2025

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