OLIVIA LEE JOHNSON RN NPI 1649969460

NPI Information

NPI: 1649969460
Provider Name: OLIVIA LEE JOHNSON, RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2823 FRESNO ST
FRESNO, CA
ZIP 93721
Phone: (559) 593-9615
Get Directions

Olivia Lee Johnson, RN is a family nurse practitioner in Fresno, CA. Olivia Lee Johnson, RN NPI is 1649969460. 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:

2823 FRESNO ST
FRESNO, CA
ZIP 93721-324
Phone: (559) 593-9615

The NPI 1649969460 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 5/8/2023 and was last updated on 9/29/2023.

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	163WM0102X	Registered Nurse	Maternal Newborn	95224230	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95027393	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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