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JACQUELINE CLARE PATTERSON JOHNSON ED.D NP-C CDE NPI 1609124353


NPI Information

NPI: 1609124353
Provider Name: JACQUELINE CLARE PATTERSON JOHNSON, ED.D, NP-C, CDE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1423 BEDFORD AVE
BROOKLYN, NY
ZIP 11216
Phone: (718) 773-0883
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Jacqueline Clare Patterson Johnson, ED.D, NP-C, CDE is a family nurse practitioner in Brooklyn, NY. Jacqueline Clare Patterson Johnson, ED.D, NP-C, CDE NPI is 1609124353. 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:

1423 BEDFORD AVE
BROOKLYN, NY
ZIP 11216-840
Phone: (718) 773-0883
Fax: (718) 773-3728

The NPI 1609124353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily332660NEW YORKYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.