DEANNA V JOHNSON M.S. R.N. APN NPI 1003820994

NPI Information

  • NPI: 1003820994
  • Provider Name: DEANNA V JOHNSON, M.S., R.N., APN
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10 BROOK END DR
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 325-7345

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NPI Details

Deanna V Johnson, M.S., R.N., APN is a psychiatric/mental health and adult clinical nurse specialist in West Orange, NJ with 44 years of experience. Deanna V Johnson, M.S., R.N., APN NPI is 1003820994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1981

The provider's business location address is:

10 BROOK END DR
WEST ORANGE, NJ
ZIP 07052-303
Phone: (973) 325-7345
Fax: (973) 325-3715

The NPI 1003820994 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 7/28/2006 and was last updated on 7/8/2007.

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
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult26NR04888600NEW JERSEYYes

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
1JO002843MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
28036501MEDICAIDNEW JERSEY

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: 3/30/2025

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