Kelly B Johnson in Fort Myers - Nurse Practitioner
Kelly B Johnson - NPI 1073631651
Kelly B Johnson is a Nurse Practitioner in Fort Myers, Florida. Kelly B Johnson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly B Johnson is 1073631651. The last update date is 2007-08-06.
Kelly B Johnson's current location address is 2780 Cleveland Ave Ste 42b, Fort Myers, Florida. You can contact this provider via phone number 2392465132. The mailing address for Kelly B Johnson is 2780 Cleveland Ave Ste 42b, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly B Johnson |
|---|---|
| Address | 2780 Cleveland Ave Ste 42b, Fort Myers, Florida |
| Phone Number | 2392465132 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1073631651 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-08-06 |
Provider Mailing Address Detail
| Address | 2780 Cleveland Ave Ste 42b |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339015858 |
| Phone Number | 2392465132 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP9174701 |
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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 identifier code issued to Kelly B Johnson by the Centers for Medicare & Medicaid Services?
The Kelly B Johnson has been assigned the NPI (National Provider Identifier) 1073631651. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly B Johnson?
The Kelly B Johnson is physically situated at 2780 Cleveland Ave Ste 42B, in the city of Fort Myers, state of FL, with the postal code 339015858.
What is Kelly B Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly B Johnson is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Kelly B Johnson receive its 1073631651 assignment from the Centers for Medicare & Medicaid Services?
The Kelly B Johnson was assigned its 1073631651 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details related to Kelly B Johnson most recently updated or revised?
The information pertaining to Kelly B Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-06.
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