MRS. ADRIENNE JANE JOHNSON FNP BSN MSN NPI 1235575788

NPI Information

NPI: 1235575788
Provider Name: MRS. ADRIENNE JANE JOHNSON, FNP, BSN, MSN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: GLACIER BAY MEDICAL AND DIABETES CARE CENTER LLC

PECOS Registration: Yes

Address:
360 BONIFACE PKWY UNIT A11
ANCHORAGE, AK
ZIP 99504
Phone: (907) 332-2400
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MRS. Adrienne Jane Johnson, FNP, BSN, MSN is a family nurse practitioner in Anchorage, AK with 12 years of experience. MRS. Adrienne Jane Johnson, FNP, BSN, MSN NPI is 1235575788. 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:

360 BONIFACE PKWY UNIT A11
ANCHORAGE, AK
ZIP 99504-908
Phone: (907) 332-2400
Fax: (907) 332-2405

The NPI 1235575788 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 5/10/2013 and was last updated on 4/18/2016.

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	1359	ALASKA	Yes

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
1	1584108	MEDICAID	ALASKA

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: 11/14/2023

NPI Synchronization or Removal

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