Tracy Lynn Johnson in Fort Wayne - Family
Tracy Lynn Johnson - NPI 1518046002
Tracy Lynn Johnson is a Family in Fort Wayne, Indiana. Tracy Lynn Johnson practices all healthcare services and medical treatments related to Family. The NPI Number for Tracy Lynn Johnson is 1518046002. The last update date is 2017-08-18.
Tracy Lynn Johnson's current location address is 6326 Constitution Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2605153275 and fax number 8888036843. The mailing address for Tracy Lynn Johnson is 6326 Constitution Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracy Lynn Johnson |
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Address | 6326 Constitution Dr, Fort Wayne, Indiana |
Phone Number | 2605153275 |
Fax Number | 8888036843 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1518046002 |
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Provider Enumeration Date | 2006-11-03 |
Last Updated Date | 2017-08-18 |
Provider Mailing Address Detail
Address | 6326 Constitution Dr |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468041518 |
Phone Number | 2605153275 |
Fax Number | 8888036843 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 71000592A |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200246760 | IN | -- |
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What is the unique identifier code issued to Tracy Lynn Johnson by the Centers for Medicare & Medicaid Services?
The Tracy Lynn Johnson has been assigned the NPI (National Provider Identifier) 1518046002. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracy Lynn Johnson located?
The Tracy Lynn Johnson is located at 6326 Constitution Dr, Fort Wayne, IN 468041518.
What is Tracy Lynn Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracy Lynn Johnson is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date was the 1518046002 assigned to Tracy Lynn Johnson?
The Tracy Lynn Johnson was issued its 1518046002 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tracy Lynn Johnson's details last updated?
The information pertaining to the Tracy Lynn Johnson, including its address, specialty, and other details, was most recently updated on 2017-08-18.