LAURA L. JOHNSON N.P. P.C. NPI 1447752035

NPI Information

NPI: 1447752035
Provider Name: LAURA L. JOHNSON, N.P., P.C.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1619 NW HAWTHORNE AVE STE 204
GRANTS PASS, OR
ZIP 97526
Phone: (541) 916-8530
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LAURA L. JOHNSON, N.P., P.C. is a family nurse practitioner in Grants Pass, OR. LAURA L. JOHNSON, N.P., P.C. NPI is 1447752035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1619 NW HAWTHORNE AVE STE 204
GRANTS PASS, OR
ZIP 97526-009
Phone: (541) 916-8530
Fax: (541) 916-8533

The provider's authorized official is Laura Lynn Johnson .
The authorized official title is Nurse Practitioner and has the following contact phone number (541) 890-8826.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.

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	201050002NP	OREGON	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	500616623	MEDICAID	OREGON

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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