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NPI Code Detail

MEDICARE: PATRICIA F. JOHNSON NP

MEDICARE:   PATRICIA F. 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
1363L00000XNurse Practitioner5005206NC

General Provider Information

NPI Number : 1699061846
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA F. JOHNSON NP
Provider Business Mailing Address
First Line : PO BOX 643822
Second Line :
City : CINCINNATI
State : OH
Zip : 45264-3822
Country : US
Telephone Number : 800-599-0207
Fax Number :
Provider Business Practice Location Address
First Line : 420 N CENTER ST
Second Line :
City : HICKORY
State : NC
Zip : 28601-5033
Country : US
Telephone Number : 828-315-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2011
Last Update Date : 09/30/2011

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