DR. KELLY ANNE JOHNSON DNP ARNP AGACNP-BC NPI 1811481690

NPI Information

NPI: 1811481690
Provider Name: DR. KELLY ANNE JOHNSON, DNP, ARNP, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
18101 OAKWOOD BLVD
DEARBORN, MI
ZIP 48124
Phone: (313) 593-7000
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DR. Kelly Anne Johnson, DNP, ARNP, AGACNP-BC is an acute care nurse practitioner in Dearborn, MI. DR. Kelly Anne Johnson, DNP, ARNP, AGACNP-BC NPI is 1811481690. 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:

18101 OAKWOOD BLVD
DEARBORN, MI
ZIP 48124-089
Phone: (313) 593-7000
Fax: (734) 446-9750

The NPI 1811481690 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 6/15/2018 and was last updated on 10/8/2023.

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	363LA2100X	Nurse Practitioner	Acute Care	4704293269	MICHIGAN	Yes
2	363L00000X	Nurse Practitioner		4704293269	MICHIGAN	No
3	363LA2100X	Nurse Practitioner	Acute Care	AP60863924	WASHINGTON	No

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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