Jennifer L. Johnson, MD PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JENNIFER L. JOHNSON, MD PLLC

Practice address

4351 Ridgemont Dr
Suite a
Abilene, TX 79606-8701

Phone

(325) 698-4545

Fax

(325) 698-4547

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Johnson

Title

Director of Operations

Phone

(325) 242-1646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1770923294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7663",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796087663",
            "telephone_number": "325-242-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 RIDGEMONT DR",
            "address_2": "SUITE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068701",
            "telephone_number": "325-698-4545",
            "fax_number": "325-698-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. JOHNSON, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "325-242-1646"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.