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LORI ANN JOHNS RN,MN, FNP- BC
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1932198371
Individual Registrant: LORI ANN JOHNS RN,MN, FNP- BC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1021 NE 13TH AVE ROCKAWAY BEACH, OR 97136-9312 US
Tel: 916-202-5799 Fax: --
Tel: 916-202-5799 Fax: --
Contact information for business:
1021 NE 13TH AVE ROCKAWAY BEACH, OR 97136-9312 US
Tel: 916-202-5799 Fax: --
Tel: 916-202-5799 Fax: --
Registration Information:
NPI: 1932198371
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | OR | 201050034NP |
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 6699 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RN LICENSE | 201040443RN | OR | 01 |
| NP LICENSE | 201050034NP | OR | 01 |
| NURSE PRACTITIONER FURNISHING NUMBER & CERTIFICATE | 6699 | CA | 01 |
| RN | 359033 | CA | 01 |
