JACLYN ANNE JOHNSON


Address: 370 Cedar Valley Rd, Poughkeepsie, NY 12603
Phone: 8456254567

JACLYN ANNE JOHNSON (NPI# 1013555812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013555812
Entity Type Individual
Full Name JACLYN ANNE JOHNSON
Other Name JACLYN ANNE SMITH
Practice Address 370 Cedar Valley Rd
Poughkeepsie
NY 12603
Practice Telephone 8456254567
Mailing Telephone 8456254567
Enumeration Date 2019-12-12
Last Update Date 2019-12-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 322960 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 322960 05

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1154739977 Jaclyn Johnson Dental Hygienist 1206 N Dolarway Rd, Suite 101, Ellensburg, WA 98926-8392 2014-07-24
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Office Location

Street Address 370 CEDAR VALLEY RD
City POUGHKEEPSIE
State NY
Zip Code 12603

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831712082 Hudson Valley Radiologists, PC Radiology 23 Sommerset Rd, Poughkeepsie, NY 12603 2020-05-22
1790345189 Nirja Kumar Counselor 514 Height Ave, Poughkeepsie, NY 12603 2019-06-18
1790349512 Mariama-seray Binta Barrie Nurse Practitioner 50 Eastdale Avenue, Poughkeepsie, NY 12603 2019-04-26
1871066670 Heather Greer Belding-wilson Dietitian, Registered 76 Firemen's Way, Poughkeepsie, NY 12603 2019-01-04
1861968927 Cynthia Lee Specht Registered Nurse 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 2018-10-16
1740772177 Courtney W Albert, Mental Health Counseling, Pllc Counselor 2 - 4 Austin Court, Poughkeepsie, NY 12603 2018-06-01
1649797820 Kaizen Physical Therapy P.l.l.c. Clinic/Center 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 2017-08-28
1740704998 Kimberly Cwik Licensed Practical Nurse 14 Westend Avenue, Poughkeepsie, NY 12603 2017-07-31
1114389426 Gina Huss Case Manager/Care Coordinator 6 Deer Run Rd, Poughkeepsie, NY 12603 2016-03-25
1457720252 Young Ho Lieu Surgery 5 Gold Road, Poughkeepsie, NY 12603 2015-09-22
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770115867 Kimberly Marie Digiacomo Licensed Practical Nurse 8 Davies Pl Apt 2, Poughkeepsie, NY 12601-2283 2020-02-07
1447891734 Lucinda Reyes Licensed Practical Nurse 343 Church St, Poughkeepsie, NY 12601-3856 2019-10-08
1568010387 Jessica Theiss Licensed Practical Nurse 537 Salt Point Tpke, Poughkeepsie, NY 12601-6528 2019-08-27
1982265377 Colleen Williams Licensed Practical Nurse 10 Mack Rd, Poughkeepsie, NY 12603-2714 2019-06-26
1821558560 Deon Wallace Licensed Practical Nurse 6 Williams St Apt B, Poughkeepsie, NY 12601-8040 2019-03-20
1326507294 Brianna Foster Licensed Practical Nurse 8 Hawk Ln, Poughkeepsie, NY 12601-1255 2019-03-19
1609335827 Shapur Hibbert Licensed Practical Nurse 42 Ziegler Ave, Poughkeepsie, NY 12603-3107 2019-03-18
1326505116 Nakia Krouser Licensed Practical Nurse 211 Mill St Apt 4, Poughkeepsie, NY 12601-6737 2019-02-27
1316419948 Magdala Berjuste Licensed Practical Nurse 364 Mansion St, Poughkeepsie, NY 12601-3567 2018-12-20
1982173720 Tiffany Trumble Licensed Practical Nurse 127 Fulton Ave Apt G2, Poughkeepsie, NY 12603-2815 2018-11-23
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Competitor

Search similar providers

City POUGHKEEPSIE
Zip Code 12603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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