Ms Venecia M Johnson, APN (ADVANCED NURSE | |
108 N Shackleford Rd, Little Rock, AR 72211-2840 | |
(501) 712-2571 | |
Not Available |
Full Name | Ms Venecia M Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 108 N Shackleford Rd, Little Rock, Arkansas |
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 |
---|---|---|---|
1619306537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2100X | Clinical Nurse Specialist - Acute Care | A003888 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain Treatment Centers Of America Pllc | 2769608819 | 53 |
Entity Name | Pain Treatment Centers Of America Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128 |
Mailing Address | Practice Location Address |
---|---|
Ms Venecia M Johnson, APN (ADVANCED NURSE 108 N Shackleford Rd, Little Rock, AR 72211-2840 Ph: (501) 712-2571 | Ms Venecia M Johnson, APN (ADVANCED NURSE 108 N Shackleford Rd, Little Rock, AR 72211-2840 Ph: (501) 712-2571 |
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