MRS. TAMMIE JEAN JOHNSON CRNP NPI 1134768914

NPI Information

NPI: 1134768914
Provider Name: MRS. TAMMIE JEAN JOHNSON, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
21680 AL HIGHWAY 79
SCOTTSBORO, AL
ZIP 35768
Phone: (256) 587-3050
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MRS. Tammie Jean Johnson, CRNP is a family nurse practitioner in Scottsboro, AL with 4 years of experience. MRS. Tammie Jean Johnson, CRNP NPI is 1134768914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21680 AL HIGHWAY 79
SCOTTSBORO, AL
ZIP 35768-904
Phone: (256) 587-3050
Fax: (256) 587-3508

The NPI 1134768914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2019 and was last updated on 12/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1-140371	ALABAMA	No
2	363LF0000X	Nurse Practitioner	Family	1-140371	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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