Traci Lynn Johnson, LVN is a
Licensed Vocational Nurse based in Vance Afb, Oklahoma. Traci Lynn Johnson is licensed to practice in Oklahoma (license number 55339) and her current practice location is
71 Mdg, 527 Gott Rd, Vance Afb, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 213-7909.
NPI number for Traci Lynn Johnson is 1164661096 and her current mailing address is 71 Mdg, 527 Gott Rd, Vance Afb, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164661096.
Provider's Profile
| Full Name | Traci Lynn Johnson |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 71 Mdg, Vance Afb, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164661096
- Provider Enumeration Date: 02/17/2009
- Last Update Date: 02/17/2009
Medical Identifiers
Medical identifiers for Traci Lynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164661096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 55339 (Oklahoma) | 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. Traci Lynn 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 |
|---|
Traci Lynn Johnson, LVN
71 Mdg, 527 Gott Rd,
Vance Afb, OK 73705-5105
Ph: (580) 213-7909 | Traci Lynn Johnson, LVN
71 Mdg, 527 Gott Rd,
Vance Afb, OK 73705-5105
Ph: (580) 213-7909 |
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