person
Mrs. Tracy Lynn Johnson, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1518046002

Tracy Lynn Johnson is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Tracy Lynn Johnson practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Tracy Lynn Johnson is 1518046002 and holds a License No. 71000592A (Indiana).

The current practice location address for Tracy Lynn Johnson is 7900 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-435-6200 and via fax at 260-435-6201.

Location: 7900 W Jefferson Blvd, Fort Wayne, IN, 46804-1518
person
Provider Profile Details
NPI Number
1518046002
Provider Name
Tracy Lynn Johnson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7900 W Jefferson Blvd, Fort Wayne, IN, 46804-1518
Phone Number
260-435-6200
Fax Number
260-435-6201
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200246760 05 IN
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd
City
State
Zip
46804-4128
Phone Number
260-435-6200
Fax Number
260-435-6201
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd
City
State
Zip
46804-4128
Phone Number
260-435-6200
Fax Number
260-435-6201
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71000592A (Indiana)
Definition
Definition to come...
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