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NPI Code Detail

MEDICARE: MEREDITH LEE JOHNSON NP

MEDICARE: MEREDITH LEE JOHNSON NP
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 Practitioner95002334CA

General Provider Information

NPI Number : 1245782697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH LEE JOHNSON NP
Provider Business Mailing Address
First Line : 55 MANCHESTER ST UNIT 1
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5271
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 1 SANSOME ST STE 3500
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-4436
Country : US
Telephone Number : 604-423-4050
Fax Number : 604-243-6214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2016
Last Update Date : 05/22/2024

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