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

Jacob Wayne Johns

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235779737

Jacob Wayne Johns is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Mind 247 Practice LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

2728 N 24th St
Phoenix, AZ 85008-1050
Phone: (844) 646-3247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 236439 (AZ)

Record details

NPI number1235779737
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mind 247 Practice Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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