MRS. EBONEE L JOHNSON ARNP NPI 1669753976

NPI Information

NPI: 1669753976
Provider Name: MRS. EBONEE L JOHNSON, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3795 W BOYNTON BEACH BLVD STE A
BOYNTON BEACH, FL
ZIP 33436
Phone: (561) 364-4840
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MRS. Ebonee L Johnson, ARNP is a family nurse practitioner in Boynton Beach, FL. MRS. Ebonee L Johnson, ARNP NPI is 1669753976. 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:

3795 W BOYNTON BEACH BLVD STE A
BOYNTON BEACH, FL
ZIP 33436-502
Phone: (561) 364-4840

The NPI 1669753976 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 8/31/2011 and was last updated on 1/18/2024.

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
1	363LF0000X	Nurse Practitioner	Family	9325356	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP9325356	FLORIDA	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	004101900	MEDICAID	FLORIDA

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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