Jeanette Deloris Johnson

Contractor · Palm Coast, FL

Individual Active NPI

NPI number 1235396144

Practice location

29 Royal Leaf Ln
Palm Coast, FL 32164-6998
Phone
(386) 313-1609

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NPI record

NPI
1235396144
Entity type
Individual (Type 1)
Enumeration date
May 19, 2008
Last updated
February 27, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —
Personal Care Attendant 3747P1801X — —

About Jeanette Johnson

Jeanette Deloris Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 29 Royal Leaf Ln, Palm Coast, FL 32164-6998. The NPI number 1235396144 was assigned on May 19, 2008 and the record was last updated on February 27, 2019.

Frequently asked questions

What is the NPI number of Jeanette Deloris Johnson?

The NPI number is 1235396144.

What is the phone number of Jeanette Johnson?

The phone number listed for the practice location is (386) 313-1609.

Where is Jeanette Johnson located?

29 Royal Leaf Ln, Palm Coast, FL 32164-6998.

What is the taxonomy code for Jeanette Johnson?

The primary taxonomy code is 171W00000X – Contractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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