TRACI JOHNSON FNP-C NPI 1275503468

NPI Information

NPI: 1275503468
Provider Name: TRACI JOHNSON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC

PECOS Registration: Yes

Address:
3634 ROGERO RD
JACKSONVILLE, FL
ZIP 32277
Phone: (904) 744-8414
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Traci Johnson, FNP-C is a family nurse practitioner in Jacksonville, FL with 24 years of experience. Traci Johnson, FNP-C NPI is 1275503468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

3634 ROGERO RD
JACKSONVILLE, FL
ZIP 32277-556
Phone: (904) 744-8414

The NPI 1275503468 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 1/23/2006 and was last updated on 3/2/2022.

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	363LF0000X	Nurse Practitioner	Family	ARNP 3401792	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	5005191	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	11017334	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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