JESSICA DANIELLE JOHNSON


Address: 234 West Porter St, Morgantown, KY 42261
Phone: 2705269652

JESSICA DANIELLE JOHNSON (NPI# 1407103898) 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) 1407103898
Entity Type Individual
Full Name JESSICA DANIELLE JOHNSON
Credential APRN
Practice Address 234 West Porter St
Morgantown
KY 42261
Practice Telephone 2705269652
Mailing Telephone 2705269652
Mailing Fax Number 2705269655
Enumeration Date 2012-08-06
Last Update Date 2015-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3007592 KY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 234 WEST PORTER ST
City MORGANTOWN
State KY
Zip Code 42261

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184719874 Ghayth Mahmoud Hammad Internal Medicine 234 West Porter St, Morgantown, KY 42261-8629 2006-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629566500 Kentucky Christian Recovery, LLC Substance Abuse Rehabilitation Facility 1118 S. Main St., Suite 3, Morgantown, KY 42261 2018-04-26
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1477076735 Walgreen Co Durable Medical Equipment & Medical Supplies 205 W Gl Smith St, Morgantown, KY 42261 2017-07-19
1194113720 Hank S Washer Pharmacist 205 West Gl Smith Street, Morgantown, KY 42261 2015-01-06
1114330867 Shannon Logan Pharmacist 205 West G. L. Smith Street, Morgantown, KY 42261 2014-06-10
1215227897 Robert Henry Campbell Pharmacist 205 West G.l. Smith St., Morgantown, KY 42261 2011-04-15
1285924076 Dale Ervin Beaty Pharmacist 205 West G L Smith Street, Morgantown, KY 42261 2011-04-13
1003121153 Sharon J Douglas Marriage & Family Therapist 213 West Ohio St., Morgantown, KY 42261 2010-08-13
1750555033 Burt & Jackson Dmd Pllc Bluegrass Oral Health Center of Morgantown Dentist 304 West Ohio St., Morgantown, KY 42261 2008-04-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City MORGANTOWN
Zip Code 42261

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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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