Doctor Name: | LORI ANN JOHNS |
NPI Number: | 1932198371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,MN, FNP- BC |
License Number: | 6699 |
Business Practice Address: | 1021 Ne 13th Ave Rockaway Beach, OR - 971369312 |
Business Phone Number: | 9162025799 |
Business Fax Number: | |
Mailing Address: | 1021 Ne 13th Ave, ROCKAWAY BEACH |
State: | OR |
Postal Code: | 971369312 |
Phone Number: | 9162025799 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6699 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |