KENRA EARLINE JOHNSON FNP-C NPI 1033506100

NPI Information

NPI: 1033506100
Provider Name: KENRA EARLINE JOHNSON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
19805 N 51ST AVE STE 33
GLENDALE, AZ
ZIP 85308
Phone: (480) 209-2849
Get Directions

Kenra Earline Johnson, FNP-C is a family nurse practitioner in Glendale, AZ. Kenra Earline Johnson, FNP-C NPI is 1033506100. 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:

19805 N 51ST AVE STE 33
GLENDALE, AZ
ZIP 85308-198
Phone: (480) 209-2849

The NPI 1033506100 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 4/16/2015 and was last updated on 5/3/2023.

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	363LF0000X	Nurse Practitioner	Family	AP5624	ARIZONA	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: 4/28/2024

NPI Synchronization or Removal

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