Tracy Dianne Johnson in Charlotte - Nurse Practitioner
Tracy Dianne Johnson - NPI 1124203880
Tracy Dianne Johnson is a Nurse Practitioner in Charlotte, North Carolina. Tracy Dianne Johnson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tracy Dianne Johnson is 1124203880. The last update date is 2023-05-04.
Tracy Dianne Johnson's current location address is 1001 Blythe Blvd, Charlotte, North Carolina. You can contact this provider via phone number 7043818840. The mailing address for Tracy Dianne Johnson is 1001 Blythe Blvd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Dianne Johnson |
|---|---|
| Address | 1001 Blythe Blvd, Charlotte, North Carolina |
| Phone Number | 7043818840 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1124203880 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2023-05-04 |
Provider Mailing Address Detail
| Address | 1001 Blythe Blvd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282035866 |
| Phone Number | 7043818840 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 5003869 |
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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 Tracy Dianne Johnson by the Centers for Medicare & Medicaid Services?
The Tracy Dianne Johnson has been assigned the NPI (National Provider Identifier) 1124203880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Tracy Dianne Johnson is located?
The Tracy Dianne Johnson is situated at the following address: 1001 Blythe Blvd, Charlotte, NC, 282035866.
What is Tracy Dianne Johnson's area of expertise and its corresponding taxonomy classification?
The Tracy Dianne Johnson's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tracy Dianne Johnson receive its 1124203880 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Dianne Johnson was assigned its 1124203880 by the Centers for Medicare & Medicaid Services on 2007-12-31.
When was the Tracy Dianne Johnson's information last updated?
The Tracy Dianne Johnson's information was last updated on 2023-05-04.