NANCY JEAN JOHNSON MD NPI 1588692883

NPI Information

  • NPI: 1588692883
  • Provider Name: NANCY JEAN JOHNSON, MD
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 119 LONGWOOD AVE
    ROCKLEDGE, FL
    ZIP 32955
  • Phone: (321) 632-6963

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NPI Details

Nancy Jean Johnson, MD is a clinical cardiac electrophysiology internal medicine in Rockledge, FL. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Nancy Jean Johnson, MD NPI is 1588692883. 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:

119 LONGWOOD AVE
ROCKLEDGE, FL
ZIP 32955-827
Phone: (321) 632-6963
Fax: (321) 632-6983

The NPI 1588692883 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 6/28/2006 and was last updated on 4/15/2015.

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
1207R00000XInternal MedicineME94649FLORIDANo
2207RC0000XInternal MedicineCardiovascular DiseaseME94649FLORIDANo
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyME94649FLORIDAYes

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
1E75552MEDICARE UPINFLORIDA
2274547000MEDICAIDFLORIDA
335193OTHERFLORIDABLUE CROSS BLUE SHIELD
4U6949WMEDICARE PINFLORIDA

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: 11/21/2025

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