MEDICARE: VICKY JEAN 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
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1548190697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKY JEAN JOHNSON

Provider Business Mailing Address
First Line	:	7316 NOTCHED PINE BND
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-5321
Country	:	US
Telephone Number	:	352-428-5662
Fax Number	:

Provider Business Practice Location Address
First Line	:	7316 NOTCHED PINE BND
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-5321
Country	:	US
Telephone Number	:	352-428-5662
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/21/2026

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Directions to “ VICKY JEAN JOHNSON ” Practice Location

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