Johnnie M Branch
Individual provider Active NPI Licensed Practical Nurse · Sawyerville, AL
NPI 1831912443 · NPPES record last updated Nov 2, 2024
Key facts
- NPI
- 1831912443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 02-078032 (AL)
- Practice address
- PO Box 135
Sawyerville, AL 36776-0135 - Phone
- (334) 507-3212
- NPI assigned
- Nov 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02-078032 | AL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | 02-078032 | AL | Yes |
Addresses
Primary practice location
PO Box 135
Sawyerville, AL 36776-0135
Mailing address
PO Box 135
Sawyerville, AL 36776-0135
Phone (334) 507-3212
Other providers in Sawyerville, AL
All providers in Sawyerville, AL · Licensed Practical Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.