Ivy Johnson, is a
Licensed Practical Nurse based in Frisco, Texas. Ivy Johnson is licensed to practice in Texas (license number 324546) and her current practice location is
7520 Kings Ridge Rd, Frisco, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 607-5660.
NPI number for Ivy Johnson is 1336764067 and her current mailing address is 7520 Kings Ridge Rd, Frisco, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336764067.
Provider's Profile
| Full Name | Ivy Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 7520 Kings Ridge Rd, Frisco, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336764067
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 06/09/2020
Medical Identifiers
Medical identifiers for Ivy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336764067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 324546 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivy Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivy Johnson,
7520 Kings Ridge Rd,
Frisco, TX 75035-7113
Ph: () - | Ivy Johnson,
7520 Kings Ridge Rd,
Frisco, TX 75035-7113
Ph: (214) 607-5660 |
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