Active NPIIndividual provider

Ms. Shannon L Johnson, NP-C

Nurse Practitioner, Adult Health in East Boston, Massachusetts

NPI Number1417158296
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4780
Last updated
February 1, 2012

Shannon Lynne Johnson is a Nurse Practitioner, Adult Health based in East Boston, MA. Shannon Lynne Johnson practices in East Boston, MA and has the professional credentials of NP-C. The NPI Number for Shannon Lynne Johnson is 1417158296 and holds a License No. 262820 (MA). The current practice location address for Shannon Lynne Johnson is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.

Provider Profile Details

NPI Number
1417158296
Provider Name
Shannon Lynne Johnson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2007
Last Update Date
February 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780

License Information

License Number
262820
License State
MA
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Shannon L Johnson, NP-C?

The NPI number of Ms. Shannon L Johnson, NP-C is 1417158296. It was assigned on May 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Shannon L Johnson, NP-C?

Ms. Shannon L Johnson, NP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 262820.

Where does Ms. Shannon L Johnson, NP-C practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4780 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417158296 directly on the NPPES registry website.

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