Mary I Johnson in Columbia - Nurse Practitioner
Mary I Johnson - NPI 1679510309
Mary I Johnson is a Nurse Practitioner in Columbia, Missouri. Mary I Johnson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary I Johnson is 1679510309. The last update date is 2012-08-09.
Mary I Johnson's current location address is 115 Business Loop 70 W, Columbia, Missouri. You can contact this provider via phone number 5738824979 and fax number 5738846050. The mailing address for Mary I Johnson is 115 Business Loop 70 W, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary I Johnson |
|---|---|
| Address | 115 Business Loop 70 W, Columbia, Missouri |
| Phone Number | 5738824979 |
| Fax Number | 5738846050 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1679510309 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2012-08-09 |
Provider Mailing Address Detail
| Address | 115 Business Loop 70 W |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652033244 |
| Phone Number | 5738824979 |
| Fax Number | 5738846050 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 48830 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101660 | MO | HEALTHLINK | |
| 143538 | MO | BLUE SHIELD/BLUE CHOICE | |
| 425336609 | MO | -- |
Post Comment/ Review Below
What is the Mary I Johnson's unique identification number?
The Mary I Johnson has been assigned the NPI (National Provider Identifier) Number 1679510309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mary I Johnson's facilities are situated?
The facilities of Mary I Johnson are physically located at the following address: 115 Business Loop 70 W, Columbia, MO, 652033244.
What is the area of specialization for Mary I Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary I Johnson is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date was the 1679510309 assigned to Mary I Johnson?
The Mary I Johnson was issued its 1679510309 on 2006-06-01, 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 Mary I Johnson's details last updated?
The information pertaining to the Mary I Johnson, including its address, specialty, and other details, was most recently updated on 2012-08-09.
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