Jennifer Johnson, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004404 Issued in AR

Practice address

195 Hospital Dr
Suite B
Cherokee Village, AR 72529-7314

Phone

(870) 257-6060

Fax

(870) 257-7664

NPI assigned

Apr 6, 2015

Last updated

May 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1144615287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DR",
            "address_2": "SUITE B",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297314",
            "telephone_number": "870-257-6060",
            "fax_number": "870-257-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DR",
            "address_2": "SUITE B",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297314",
            "telephone_number": "870-257-6060",
            "fax_number": "870-257-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015007296",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Himschoot, MHPP
• Jennifer Hudson
• Internal Medicine Diagnostics Inc
• Greta Ishmael, PHARMD
• Cicily Jenkins, RN
• Jennifer Lindsey Jones
• Rachel Jones, MHPP
• Nichole Kellems, MHPP
• Taryn Rae Hollaway Kendrick
• Elizabeth M Kilgore, O.D.

• Family Nurse Practitioner in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.