Jalil Abdul Johnson
Nurse Practitioner - Adult Health
140 High St
Springfield
, Massachusetts 01105-1442
Jalil Abdul Johnson
Nurse Practitioner - Adult Health
140 High St
Springfield
, Massachusetts 01105-1442
(413) 794-5700
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Jalil Abdul Johnson
- 280 Chestnut St 2nd Floor
- Springfield, MA
- Zip : 01199-1001
- Phone : (413) 794-5700
Second Address
- Jalil Abdul Johnson
- 140 High St
- Springfield, MA
- Zip : 01105-1442
- Fax : (413) 794-8428
- Phone : (413) 794-2511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 270185 | MA |
National Provider Identifier
| NPI | 1003121351 |
|---|---|
| Provider Name | Jalil Abdul Johnson |
| First Address | Springfield, MA 01199-1001 |
| Second Address | Springfield, MA 01105-1442 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2010 |
| Last Update Date | 19/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.