Jacqueline Johnson in Bronx - Licensed Practical Nurse

Jacqueline Johnson - NPI 1215110705

Jacqueline Johnson is a Licensed Practical Nurse in Bronx, New York. Jacqueline Johnson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jacqueline Johnson is 1215110705. The last update date is 2007-12-07.

Jacqueline Johnson's current location address is 1039 E 212th St, Bronx, New York. You can contact this provider via phone number 7182313364. The mailing address for Jacqueline Johnson is 1039 E 212th St, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Johnson
Address 1039 E 212th St, Bronx, New York
Phone Number 7182313364
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1215110705
Provider Enumeration Date 2007-12-07
Last Updated Date 2007-12-07

Provider Mailing Address Detail

Address 1039 E 212th St
City Bronx
State New York (NY)
Post Code 104691314
Phone Number 7182313364
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 286792-1
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2827163 NY --

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FAQs about Jacqueline Johnson

What is the unique identifier code issued to Jacqueline Johnson by the Centers for Medicare & Medicaid Services (CMS)?

The Jacqueline Johnson has been assigned the NPI (National Provider Identifier) 1215110705. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Jacqueline Johnson is geographically located?

The Jacqueline Johnson is physically situated at the following location: 1039 E 212Th St, Bronx, NY, 104691314.

What is Jacqueline Johnson's area of expertise and its corresponding taxonomy classification?

The Jacqueline Johnson's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.

When did Jacqueline Johnson receive its 1215110705 assignment?

The Jacqueline Johnson was assigned its 1215110705 on 2007-12-07, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Jacqueline Johnson most recently updated or revised?

The details related to Jacqueline Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-07.

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