HOLLY JOHNSON NPI 1477304269

NPI Information

  • NPI: 1477304269
  • Provider Name: HOLLY JOHNSON
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 CENTERPOINT DR STE 215
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (888) 964-6681

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NPI Details

Holly Johnson is a gerontology nurse practitioner in Middletown, CT. Holly Johnson NPI is 1477304269. 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:

101 CENTERPOINT DR STE 215
MIDDLETOWN, CT
ZIP 06457-568
Phone: (888) 964-6681
Fax: (888) 662-0859

The NPI 1477304269 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 3/29/2024 and was last updated on 3/29/2024.

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
1363LG0600XNurse PractitionerGerontology12951CONNECTICUTYes

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: 3/30/2025

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