Charmaine R Allen Johnson (NPI# 1235259748, PAC ID# 4688656119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235259748 |
| PAC ID by PECOS | 4688656119 |
| Professional Enrollment ID | I20040607001007 |
| Full Name | Charmaine R Allen Johnson |
| Address |
619 Diagonal St Clarkston WA 99403-2041 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131320 | CLEARWATER VALLEY HOSPITAL & CLINICS |
| 131315 | SYRINGA GENERAL HOSPITAL |
| 501332 | TRI-STATE MEMORIAL HOSPITAL |
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 619 Diagonal St, Clarkston, WA 99403-2041 |
| Street Address |
619 DIAGONAL ST |
| City | CLARKSTON |
| State | WA |
| Zip | 99403-2041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas G Phillips | Psychiatry | Tri-state Memorial Hospital | 302 5th St, Suite 3, Clarkston, WA 99403-1801 |
| Mark T Eggleston | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Chad R Bouterse | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Marcia G Holthaus | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Allen M Ernster | Family Medicine | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Ann M Ridinger | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Kristine G Kemp | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Teresa L Abel | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Cheryl L Rudd | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Edward C Harkins | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Find all physicians in zip 99403 | |||
| City | CLARKSTON |
| Zip Code | 99403 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charmaine R Allen Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.