ANTALLIA SHAUNTELL JOHNSON CRNP NPI 1710443767

NPI Information

NPI: 1710443767
Provider Name: ANTALLIA SHAUNTELL JOHNSON, CRNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
2505 US HWY 431 WOMEN'S CENTER SUITE A
BOAZ, AL
ZIP 35957
Phone: (256) 840-4530
Get Directions

Antallia Shauntell Johnson, CRNP is an obstetrics and gynecology nurse practitioner in Boaz, AL. Antallia Shauntell Johnson, CRNP NPI is 1710443767. 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:

2505 US HWY 431 WOMEN'S CENTER SUITE A
BOAZ, AL
ZIP 35957
Phone: (256) 840-4530
Fax: (256) 840-4537

The NPI 1710443767 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 2/14/2019 and was last updated on 2/14/2019.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	1-154179	ALABAMA	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: 11/14/2023

NPI Synchronization or Removal

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