OLIVIA LEE JOHNSON RN NPI 1649969460

NPI Information

  • NPI: 1649969460
  • Provider Name: OLIVIA LEE JOHNSON, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 347 E BARSTOW AVE STE 102
    FRESNO, CA
    ZIP 93710
  • Phone: (559) 550-4344

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NPI Details

Olivia Lee Johnson, RN is a family nurse practitioner in Fresno, CA with 3 years of experience. 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:

347 E BARSTOW AVE STE 102
FRESNO, CA
ZIP 93710-039
Phone: (559) 550-4344
Fax: (559) 550-6011

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 9/16/2024.

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
1163WM0102XRegistered NurseMaternal Newborn95224230CALIFORNIANo
2363LF0000XNurse PractitionerFamily95027393CALIFORNIAYes

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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