MRS. PORSCHE TIASHA ORANGE-JOHNSON FAMILY NURSE PRACTIT NPI 1982327730

NPI Information

NPI: 1982327730
Provider Name: MRS. PORSCHE TIASHA ORANGE-JOHNSON, FAMILY NURSE PRACTIT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2108 SCREVEN AVE
WAYCROSS, GA
ZIP 31501
Phone: (912) 816-3206
Get Directions

MRS. Porsche Tiasha Orange-johnson, FAMILY NURSE PRACTIT is a family nurse practitioner in Waycross, GA with 2 years of experience. MRS. Porsche Tiasha Orange-johnson, FAMILY NURSE PRACTIT NPI is 1982327730. 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:

2108 SCREVEN AVE
WAYCROSS, GA
ZIP 31501-047
Phone: (912) 816-3206

The NPI 1982327730 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 9/26/2022 and was last updated on 9/26/2022.

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	RN260788	GEORGIA	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	RN260788	OTHER	GEORGIA	FAMILY NURSE PRACTITIONER
2	RN260788	MEDICAID	GEORGIA

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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