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Nicole Johnson
Adult Companion in Mesa, Arizona
NPI 1457096885

Nicole Johnson is an Adult Companion based in Mesa, AZ. Nicole Johnson practices in Mesa, AZ. The NPI Number for Nicole Johnson is 1457096885 and holds a License No. LIC23-07617 (Arizona).

The current practice location address for Nicole Johnson is 4225 E University Dr Apt 128, Mesa, AZ and can be reached out via phone at 719-321-5099.

Location: 4225 E University Dr Apt 128, Mesa, AZ, 85206-3391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457096885
Provider Name
Nicole Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4225 E University Dr Apt 128, Mesa, AZ, 85206-3391
Phone Number
719-321-5099
Fax Number
Provider Enumeration Date
04/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4225 E University Dr Apt 128
City
Mesa
State
Arizona
Zip
85205-7092
Phone Number
719-321-5099
Fax Number
person
Provider Business Mailing Address Details
Address
4225 E University Dr Apt 128
City
Mesa
State
Arizona
Zip
85205-7092
Phone Number
719-321-5099
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
LIC23-07617 (Arizona)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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