Mary Beth Johnson in Davenport - Nurse Practitioner
Mary Beth Johnson - NPI 1104085497
Mary Beth Johnson is a Nurse Practitioner in Davenport, Iowa. Mary Beth Johnson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Beth Johnson is 1104085497. The last update date is 2013-08-20.
Mary Beth Johnson's current location address is 2322 E Kimberly Rd, Davenport, Iowa. You can contact this provider via phone number 5633551853 and fax number 5633591512. The mailing address for Mary Beth Johnson is 2322 E Kimberly Rd, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Beth Johnson |
|---|---|
| Address | 2322 E Kimberly Rd, Davenport, Iowa |
| Phone Number | 5633551853 |
| Fax Number | 5633591512 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1104085497 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2013-08-20 |
Provider Mailing Address Detail
| Address | 2322 E Kimberly Rd |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528077205 |
| Phone Number | 5633551853 |
| Fax Number | 5633591512 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | F-100600 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Mary Beth Johnson by the Centers for Medicare & Medicaid Services?
The Mary Beth Johnson has been assigned the NPI (National Provider Identifier) 1104085497 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Mary Beth Johnson located?
The Mary Beth Johnson is located at 2322 E Kimberly Rd, Davenport, IA 528077205.
What is Mary Beth Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Beth Johnson is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Mary Beth Johnson receive its 1104085497 assignment from the Centers for Medicare & Medicaid Services?
The Mary Beth Johnson was assigned its 1104085497 by the Centers for Medicare & Medicaid Services on 2008-06-03.
When was the information pertaining to Mary Beth Johnson most recently updated or revised?
The details related to Mary Beth Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-20.