Jacquelyn Johnson, OTR/L is a
Occupational Therapist based in Princeton, Illinois. Jacquelyn Johnson is licensed to practice in Illinois (license number 056.001008) and her current practice location is
530 Park Ave E, Princeton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 876-4494.
NPI number for Jacquelyn Johnson is 1710241286 and her current mailing address is 530 Park Ave E, Princeton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710241286.
Healthcare Provider's Profile
Full Name | Jacquelyn Johnson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 530 Park Ave E, Princeton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710241286
- Provider Enumeration Date: 06/29/2012
- Last Update Date: 06/29/2012
Medical Identifiers
Medical identifiers for Jacquelyn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710241286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 056.001008 (Illinois) | 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. Jacquelyn 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 |
Jacquelyn Johnson, OTR/L 530 Park Ave E, Princeton, IL 61356-3901 Ph: (815) 876-4494 | Jacquelyn Johnson, OTR/L 530 Park Ave E, Princeton, IL 61356-3901 Ph: (815) 876-4494 |
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