Doctor Name: | JEANANNE JOHNSON-TALBERT |
NPI Number: | 1699928754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC, FNP, DHA |
License Number: | 6670082-4405 |
Business Practice Address: | 270 S 1060 W Lindon, UT - 840421600 |
Business Phone Number: | 8016693425 |
Business Fax Number: | |
Mailing Address: | 270 S 1060 W, LINDON |
State: | UT |
Postal Code: | 840421600 |
Phone Number: | 8016693425 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2008 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6670082-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |