TRUDY JEAN JOHNSON PNP NPI 1093378986

NPI Information

NPI: 1093378986
Provider Name: TRUDY JEAN JOHNSON, PNP
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

PECOS Registration: Yes

Address:
5841 S MARYLAND AVE # MC1145
CHICAGO, IL
ZIP 60637
Phone: (773) 702-6681
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Trudy Jean Johnson, PNP is a pediatrics and critical care nurse practitioner in Chicago, IL. Trudy Jean Johnson, PNP NPI is 1093378986. 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:

5841 S MARYLAND AVE # MC1145
CHICAGO, IL
ZIP 60637-443
Phone: (773) 702-6681

The NPI 1093378986 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 4/17/2019 and was last updated on 8/23/2019.

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	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	209018871	ILLINOIS	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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