Active NPIIndividual provider

Holly Johnson

Nurse Practitioner, Gerontology in Middletown, Connecticut

NPI Number1477304269
Practice location
101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568
Fax
888-662-0859
Last updated
March 29, 2024

Holly Johnson is a Nurse Practitioner, Gerontology based in Middletown, CT. Holly Johnson practices in Middletown, CT. The NPI Number for Holly Johnson is 1477304269 and holds a License No. 12951 (CT). The current practice location address for Holly Johnson is 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 and can be reached out via phone at 888-964-6681 and via fax at 888-662-0859.

Provider Profile Details

NPI Number
1477304269
Provider Name
Holly Johnson
Provider Entity Type
Individual
Gender
Female
Address
101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568
Phone Number
888-964-6681
Fax Number
888-662-0859
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Other Names
Holly Eberlin (Former Name)
Provider Enumeration Date
March 29, 2024
Last Update Date
March 29, 2024
Certification Date
March 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568
Zip
06457-7568
Phone Number
888-964-6681
Fax Number
888-662-0859
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
City
Framingham
State
MA
Zip
01702-5555
Phone Number
888-964-6681
Fax Number
888-662-0859

License Information

License Number
12951
License State
CT
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · 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 Holly Johnson?

The NPI number of Holly Johnson is 1477304269. It was assigned on March 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Holly Johnson?

Holly Johnson is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 12951.

Where does Holly Johnson practice?

The practice location is 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568. The office can be reached at 888-964-6681 (phone) or 888-662-0859 (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 1477304269 directly on the NPPES registry website.

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