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NPI Code Detail

MEDICARE: PATRICIA ANN JOHNSON

MEDICARE: PATRICIA ANN JOHNSON
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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1316805112
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN JOHNSON
Provider Business Mailing Address
First Line : 311 TECUMSEH ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-2014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 212 E MAIN ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1913
Country : US
Telephone Number : 937-548-6842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/14/2026

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Directions to “ PATRICIA ANN JOHNSON ” Practice Location

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