AMANDA MICHELLE JOHNSON MSN AGNP NPI 1235502303

NPI Information

NPI: 1235502303
Provider Name: AMANDA MICHELLE JOHNSON, MSN, AGNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1330 MERCY DR NW
SUITE 101
CANTON, OH
ZIP 44708
Phone: (330) 588-4676
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Amanda Michelle Johnson, MSN, AGNP is an adult health nurse practitioner in Canton, OH with 9 years of experience. Amanda Michelle Johnson, MSN, AGNP NPI is 1235502303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1330 MERCY DR NW
SUITE 101
CANTON, OH
ZIP 44708-626
Phone: (330) 588-4676
Fax: (330) 588-3677

The NPI 1235502303 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 11/11/2015 and was last updated on 1/22/2021.

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	363LA2200X	Nurse Practitioner	Adult Health	APRN.CNP.18395	OHIO	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	RN.311985	OHIO	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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