JAICEY JOHNSON


Address: 928 Tracy Ct, Schaumburg, IL 60193-4130
Phone: 8476274745

JAICEY JOHNSON (NPI# 1538654553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538654553
Entity Type Individual
Full Name JAICEY JOHNSON
Credential FNP
Practice Address 928 Tracy Ct
Schaumburg
IL 60193-4130
Mailing Address 1325 Remington Rd Ste A
Schaumburg
IL 60173-4815
Practice Telephone 8476274745
Enumeration Date 2018-06-22
Last Update Date 2019-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.017630 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 928 TRACY CT
City SCHAUMBURG
State IL
Zip Code 60193-4130

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1265981021 Fresenius Medical Care Schaumburg, LLC Clinic/Center 815 W Wise Rd, Schaumburg, IL 60193 2016-09-22
1316323157 Jasmine Said Optometrist 2834 Adams Ct., Schaumburg, IL 60193 2015-08-04
1215368287 Daryl B. Wever Corp Podiatrist 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 2013-12-02
1164764668 Pediatric Healthlink, S.c. Pediatrics 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 2013-03-22
1407154602 Physician Office Internal Medicine 321 South Barrington Road, Schaumburg, IL 60193 2011-03-11
1154552016 Crystal Clear Eye Care Clinic Preferred Provider Organization 1760 Wise, Schaumberg, IL 60193 2009-07-27
1437304458 Frank J. Honig Dentist 129 S. Roselle Rd., 201, Schaumburg, IL 60193 2008-11-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003320128 Anasooyadevi Vijay Nurse Practitioner 635 Schooner Pt, Schaumburg, IL 60194-3620 2017-11-28
1881107613 Angeli Patel Nurse Practitioner 919 Prince Charles Ln, Schaumburg, IL 60195-2936 2017-11-15
1437682713 Beena James Nurse Practitioner 209 Kendrick Ct, Schaumburg, IL 60194-4101 2017-04-04
1710423710 Hiralben Gandhi Nurse Practitioner 830 Carnaby Ct, Schaumburg, IL 60194-2205 2017-01-13
1639614738 Melissa Marte-nordsieck Nurse Practitioner 919 N Plum Grove Rd Ste A, Schaumburg, IL 60173-4760 2016-12-27
1649637075 Neung Kwon Nurse Practitioner 618 Manomet Ct, Schaumburg, IL 60173-4727 2016-01-14
1255744488 Michael Camporese Nurse Practitioner 1325 Remington Rd Ste X, Schaumburg, IL 60173-4815 2014-06-05
1700216504 Nisha Thomas Nurse Practitioner 1406 Brownstone Pl, Schaumburg, IL 60193-3533 2013-11-15
1891127395 Kristen Lee Nicholls Nurse Practitioner 943 N. Plum Grove Road, Suite B, Schaumburg, IL 60173 2013-08-07
1265618029 Meredith Hardt Nurse Practitioner 80 W Hillcrest Blvd Ste 208, Schaumburg, IL 60195-3111 2008-01-11
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Competitor

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City SCHAUMBURG
Zip Code 60193

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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