JACLYN ANNE JOHNSON
NPI 1013555812
Licensed Practical Nurse in Poughkeepsie, NY

Q: What is Jaclyn Johnson's NPI number?

The NPI number for Jaclyn Johnson is 1013555812. It was assigned to this individual provider in the NPPES registry on December 12, 2019. The provider is also known as Jaclyn Anne Smith Lpn.

Q: What is Jaclyn Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Johnson was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2019

370 CEDAR VALLEY RD, POUGHKEEPSIE, NY 12603(845) 625-4567 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaclyn Anne Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN ANNE JOHNSON (NPI 1013555812) is an individual licensed practical nurse in Poughkeepsie, New York, licensed in New York (322960) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1013555812

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJACLYN ANNE JOHNSON

Location Address370 CEDAR VALLEY RDPoughkeepsie, NY 12603

Mailing Address370 Cedar Valley RdPoughkeepsie, NY 12603 · (845) 625-4567

Phone(845) 625-4567

Sole ProprietorYes

Enumeration DateDecember 12, 2019

✔ NPI 1013555812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 322960

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

370 CEDAR VALLEY RD, Poughkeepsie, NY 12603

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Other Names 1

Former Name (1)Jaclyn Anne Smith Lpn

Other Identifiers 1

Medicaid322960NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Johnson's NPI number?

The NPI number for Jaclyn Johnson is 1013555812. It was assigned to this individual provider in the NPPES registry on December 12, 2019. The provider is also known as Jaclyn Anne Smith Lpn.

Where is Jaclyn Johnson located?

Jaclyn Johnson practices at 370 Cedar Valley Rd, Poughkeepsie, NY 12603. The listed phone number is (845) 625-4567.

What is Jaclyn Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Johnson was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.