MARC RAY JOHNSON NPI 1700620622

NPI Information

  • NPI: 1700620622
  • Provider Name: MARC RAY JOHNSON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 8601 W DODGE RD STE 106
    OMAHA, NE
    ZIP 68114
  • Phone: (402) 575-5577

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NPI Details

Marc Ray Johnson is a psychiatric/mental health nurse practitioner in Omaha, NE. Marc Ray Johnson NPI is 1700620622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8601 W DODGE RD STE 106
OMAHA, NE
ZIP 68114-430
Phone: (402) 575-5577

The enumeration date for this NPI number is 6/24/2024 and was last updated on 6/24/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health115439NEBRASKAYes

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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