Beverly J Johnson in Caledonia - Licensed Practical Nurse
Beverly J Johnson - NPI 1942337795
Beverly J Johnson is a Licensed Practical Nurse in Caledonia, Ohio. Beverly J Johnson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Beverly J Johnson is 1942337795. The last update date is 2007-07-08.
Beverly J Johnson's current location address is 109 Center St, Caledonia, Ohio. You can contact this provider via phone number 7408021673 and fax number 4198452075. The mailing address for Beverly J Johnson is 109 Center St, Caledonia, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly J Johnson |
|---|---|
| Address | 109 Center St, Caledonia, Ohio |
| Phone Number | 7408021673 |
| Fax Number | 4198452075 |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1942337795 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 109 Center St |
|---|---|
| City | Caledonia |
| State | Ohio (OH) |
| Post Code | 433149493 |
| Phone Number | 7408021673 |
| Fax Number | 4198452075 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN 065827 M |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2713095 | OH | INDEPENDENT PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Beverly J Johnson by the Centers for Medicare & Medicaid Services?
The Beverly J Johnson has been assigned the NPI (National Provider Identifier) 1942337795. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Beverly J Johnson is located?
The Beverly J Johnson is situated at the following address: 109 Center St, Caledonia, OH, 433149493.
What is the Beverly J Johnson's specialty and taxonomy code?
The Beverly J Johnson's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942337795 to Beverly J Johnson?
The Beverly J Johnson received its 1942337795 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the details related to Beverly J Johnson most recently updated or revised?
The information pertaining to Beverly J Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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