Mark Anthony Johnson in Sacramento - Licensed Practical Nurse
Mark Anthony Johnson - NPI 1467647008
Mark Anthony Johnson is a Licensed Practical Nurse in Sacramento, California. Mark Anthony Johnson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Mark Anthony Johnson is 1467647008. The last update date is 2007-09-06.
Mark Anthony Johnson's current location address is 2345 Ivy Vine Way, Sacramento, California. You can contact this provider via phone number 9169551703. The mailing address for Mark Anthony Johnson is 2345 Ivy Vine Way, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Johnson |
|---|---|
| Address | 2345 Ivy Vine Way, Sacramento, California |
| Phone Number | 9169551703 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LVN |
NPI Number Detail
| NPI Number | 1467647008 |
|---|---|
| Provider Enumeration Date | 2007-09-06 |
| Last Updated Date | 2007-09-06 |
Provider Mailing Address Detail
| Address | 2345 Ivy Vine Way |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958339785 |
| Phone Number | 9169551703 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 142887 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Anthony Johnson by the Centers for Medicare & Medicaid Services?
The Mark Anthony Johnson has been assigned the NPI (National Provider Identifier) 1467647008 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark Anthony Johnson?
The Mark Anthony Johnson is situated at 2345 Ivy Vine Way, in the city of Sacramento, state of CA, with the zip code 958339785.
What is Mark Anthony Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Anthony Johnson is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467647008 to Mark Anthony Johnson?
The Centers for Medicare & Medicaid Services assigned the 1467647008 to Mark Anthony Johnson on 2007-09-06.
As of what date was the information regarding Mark Anthony Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Anthony Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-06.