AGING SUCCESSFULLY PC NPI 1952694341

NPI Information

  • NPI: 1952694341
  • Provider Name: AGING SUCCESSFULLY PC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 115 SPRING RIDGE DR
    MURPHY, TX
    ZIP 75094
  • Phone: (972) 384-0694

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NPI Details

AGING SUCCESSFULLY PC is a gerontology nurse practitioner in Murphy, TX. AGING SUCCESSFULLY PC NPI is 1952694341. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 SPRING RIDGE DR
MURPHY, TX
ZIP 75094-267
Phone: (972) 384-0694

The provider's authorized official is Jody Johnson .
The authorized official title is Owner and has the following contact phone number (972) 384-0694.

The enumeration date for this NPI number is 5/18/2011 and was last updated on 2/7/2012.

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
1363LG0600XNurse PractitionerGerontologyYes

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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