Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Anne Johnson

Individual provider Licensed Practical Nurse · NPI 1013555812

Jaclyn Anne Johnson is a Licensed Practical Nurse in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

370 Cedar Valley Rd
Poughkeepsie, NY 12603
Phone: (845) 625-4567
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Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 322960 (NY)

Record details

NPI number1013555812
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2019
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address370 Cedar Valley Rd, Poughkeepsie, NY 12603

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