Leslie A Johnson, FNP | |
19636 N 27th Ave, Ste 401, Phoenix, AZ 85027-4013 | |
(602) 298-8888 | |
(602) 978-4129 |
Full Name | Leslie A Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 19636 N 27th Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740255181 | NPI | - | NPPES |
796617 | Medicaid | AZ | |
3Z3967 | Other | AZ | HEALTHNET |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN091028 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP 1352 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bhsm Rehabilitation Llc | 2062773138 | 1355 |
Banner Physician Specialists Arizona Llc | 6204002272 | 255 |
Entity Name | Banner Physician Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
Mailing Address | Practice Location Address |
---|---|
Leslie A Johnson, FNP P.o. Box 29870, Phoenix, AZ 85038-9870 Ph: (602) 772-3800 | Leslie A Johnson, FNP 19636 N 27th Ave, Ste 401, Phoenix, AZ 85027-4013 Ph: (602) 298-8888 |
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 | |
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999 | |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 | |
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 | |
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507 | |
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475 | |
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919 |