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NPI Code Detail

MEDICARE: MS. BRITTNEY LYNN JOHNSON RN

MEDICARE:  MS. BRITTNEY LYNN JOHNSON  RN
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
1163W00000XRegistered NurseRN365498OH

General Provider Information

NPI Number : 1790077063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITTNEY LYNN JOHNSON RN
Provider Business Mailing Address
First Line : 4287 E LAKE RD
Second Line :
City : SHEFFIELD LAKE
State : OH
Zip : 44054-1249
Country : US
Telephone Number : 440-752-2602
Fax Number :
Provider Business Practice Location Address
First Line : 4287 E LAKE RD
Second Line :
City : SHEFFIELD LAKE
State : OH
Zip : 44054-1249
Country : US
Telephone Number : 440-752-2602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2011
Last Update Date : 05/05/2011

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Directions to “ MS. BRITTNEY LYNN JOHNSON RN” Practice Location

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