MR. CLARENCE MCNEIL JOHNSON JR. (NPI# 1740755594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740755594 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE MCNEIL JOHNSON JR. |
| Credential | CRNP-PMH |
| Practice Address |
7450 Albert Rd Brandywine MD 20613-3035 |
| Practice Telephone | 3018882233 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC002607 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710152178 | Clarence Johnson | Speech-Language Pathologist | 1129 Morgan St., Cleveland, MS 38732 | 2008-04-28 |
| 1023103728 | Clarence Johnson | Physical Therapist | 6560 Fannin St Ste 450, Houston, TX 77030-2735 | 2006-10-04 |
| 1649370768 | Clarence M Johnson | Specialist | 12555 Garden Grove Blvd, Suite 206, Garden Grove, CA 92843-1902 | 2006-09-25 |
| 1942317474 | Clarence Johnson | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2598 | 2006-08-23 |
| 1013937713 | Clarence Michael Johnson | Urology | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2006-07-19 |
| 1942278619 | Clarence Birnie Johnson | Internal Medicine | 1161 Cook Rd, Orangeburg, SC 29118-8204 | 2006-03-09 |
| Street Address |
7450 ALBERT RD |
| City | BRANDYWINE |
| State | MD |
| Zip Code | 20613-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343071 | Saida Morenike Sanusi | Pediatrics | 7450 Albert Rd, 1st, Brandywine, MD 20613-3035 | 2005-08-19 |
| 1366923336 | Precious Elike | Dentist | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-08-27 |
| 1366932899 | Shauna Dixon | Dietitian, Registered | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-05-10 |
| 1013419639 | Jennifer L Durham | Dental Hygienist | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-02-28 |
| 1760903736 | Brenda L. Santana | Counselor | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2017-06-29 |
| 1558730820 | Malaika Oliver | Nurse Practitioner | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2015-09-17 |
| 1073998886 | Laboratory Corporation of America | Clinical Medical Laboratory | 7450 Albert Rd, Suite 234, Brandywine, MD 20613-3035 | 2015-07-22 |
| 1265793897 | Keon M Vasudevan | Student in an Organized Health Care Education/Training Program | 7450 Albert Rd, 1st Floor, Brandywine, MD 20613-3035 | 2012-05-30 |
| 1891975694 | Billie Wooten Lyons | Nurse Practitioner | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2007-11-08 |
| 1073738480 | Kisha Michelle Chase Lawton | Family Medicine | 7450 Albert Rd, Second Floor, Brandywine, MD 20613 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176018 | Joseph Delonte Snider | Social Worker | 15912 Crain Hwy Ste B174, Brandywine, MD 20613 | 2018-03-01 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1619418001 | Delante Mckinnon | Home Health Aide | 13306 Craine Hwy, Brandywine, MD 20613 | 2017-03-17 |
| 1346604295 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 13950 Bradywine Road, Brandywine, MD 20613 | 2016-04-07 |
| 1053779116 | Medstar Surgery Center At Brandywine, LLC | Clinic/Center | 13950 Brandywine Road, Suite 100, Brandywine, MD 20613 | 2016-02-04 |
| 1649654948 | Innersense Behavioral Health, Inc. | Counselor | 13508 Stoney Creek Lane, Brandywine, MD 20613 | 2015-07-16 |
| 1043588817 | Neibauer Dental Care, PC | Dentist | 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 | 2011-12-08 |
| 1376829804 | Danielle Lasure-bryant | Counselor | 11600 Cedarville Road, Brandywine, MD 20613 | 2011-10-28 |
| 1164664405 | Adenike Olayinka Gbenle | Dentist | 7450 Clymer Dr, Brandywine, MD 20613 | 2009-04-01 |
| 1841466919 | Communit Support System 'css LLC'. | Home Health | 6307 Brechib Dr, Brandywine, MD 20613 | 2008-05-07 |
| Find all providers in zip 20613 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | BRANDYWINE |
| Zip Code | 20613 |
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| 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.