JEFFREY PAUL JOHNSON APN FNP NPI 1255667440

NPI Information

NPI: 1255667440
Provider Name: JEFFREY PAUL JOHNSON, APN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1600 N MAIN AVE
LOVINGTON, NM
ZIP 88260
Phone: (575) 396-6611
Get Directions

Jeffrey Paul Johnson, APN, FNP is a family nurse practitioner in Lovington, NM. Jeffrey Paul Johnson, APN, FNP NPI is 1255667440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 N MAIN AVE
LOVINGTON, NM
ZIP 88260-813
Phone: (575) 396-6611

The NPI 1255667440 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 10/23/2009 and was last updated on 1/4/2022.

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	111N00000X	Chiropractor		3061	COLORADO	No
2	163W00000X	Registered Nurse		168340	COLORADO	No
3	363L00000X	Nurse Practitioner		10141	COLORADO	No
4	363LF0000X	Nurse Practitioner	Family	61768	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87703076	MEDICAID	NEW MEXICO
2	96657251	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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