Provider Demographics
NPI:1124553425
Name:JOHNSON, CHELSEA JEANNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JEANNE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:JEANNE
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10249 W THUNDERBIRD BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3113
Mailing Address - Country:US
Mailing Address - Phone:623-322-5900
Mailing Address - Fax:623-249-4344
Practice Address - Street 1:10249 W THUNDERBIRD BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3113
Practice Address - Country:US
Practice Address - Phone:623-322-5900
Practice Address - Fax:623-249-4344
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily