MRS. JENNIFER MICHELLE JOHNSON CNM WHNP FNP NPI 1184115834

NPI Information

NPI: 1184115834
Provider Name: MRS. JENNIFER MICHELLE JOHNSON, CNM, WHNP, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1420 FERN CREEK DR
STATESVILLE, NC
ZIP 28625
Phone: (704) 380-3722
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MRS. Jennifer Michelle Johnson, CNM, WHNP, FNP is a family nurse practitioner in Statesville, NC. MRS. Jennifer Michelle Johnson, CNM, WHNP, FNP NPI is 1184115834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1420 FERN CREEK DR
STATESVILLE, NC
ZIP 28625-376
Phone: (704) 380-3722
Fax: (704) 380-3723

The NPI 1184115834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/29/2018 and was last updated on 10/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	5011496	NORTH CAROLINA	No
2	367A00000X	Advanced Practice Midwife		689	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	689	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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