JACQUELINE JOHNSON AGNP NPI 1003359951

NPI Information

  • NPI: 1003359951
  • Provider Name: JACQUELINE JOHNSON, AGNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 822 RED TIP DR
    ALLEN, TX
    ZIP 75002
  • Phone: (501) 416-8045

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NPI Details

Jacqueline Johnson, AGNP is a gerontology nurse practitioner in Allen, TX with 7 years of experience. Jacqueline Johnson, AGNP NPI is 1003359951. 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:

822 RED TIP DR
ALLEN, TX
ZIP 75002-023
Phone: (501) 416-8045

The NPI 1003359951 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 11/27/2016 and was last updated on 10/13/2025.

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
1163W00000XRegistered Nurse81-4360797TEXASNo
2376K00000XNurse's Aide81-4360797TEXASNo
3164X00000XLicensed Vocational Nurse81-4360797TEXASNo
4363LG0600XNurse PractitionerGerontologyAP143029TEXASYes

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: 11/21/2025

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