Amanda Michelle Johnson, MSN, AGNP | |
1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | |
(330) 588-4676 | |
(330) 588-3677 |
Full Name | Amanda Michelle Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1330 Mercy Dr Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235502303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN.311985 (Ohio) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.18395 (Ohio) | Primary |
Entity Name | Mercy Professional Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827876 PECOS PAC ID: 7416857198 Enrollment ID: O20040109000676 |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
Mailing Address | Practice Location Address |
---|---|
Amanda Michelle Johnson, MSN, AGNP 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 Ph: (330) 588-4676 | Amanda Michelle Johnson, MSN, AGNP 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 Ph: (330) 588-4676 |
Mrs. Rachel Elizabeth Starr, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 | |
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 | |
Kathleen Moore, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-588-4676 | |
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-7444 Fax: 330-363-7770 | |
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785 | |
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911 | |
Kenzie Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-9632 |