MEDICARE: MS. CAYLOR JOHNSON CALLAGHAN 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
1	363LF0000X	Family Nurse Practitioner	SP023874	PA

General Provider Information

NPI Number	:	1336717610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAYLOR JOHNSON CALLAGHAN CRNP

Provider Business Mailing Address
First Line	:	115 CRESTVIEW DR
Second Line	:
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19348-2251
Country	:	US
Telephone Number	:	610-608-0925
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 OLD FERN HILL RD
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4269
Country	:	US
Telephone Number	:	610-431-3122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	02/05/2026

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