Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013555812 Individual Practitioner Female Practitioner

Jaclyn Anne Johnson

Licensed Practical Nurse • Poughkeepsie, NY

Professional Overview & Biography Verified Profile Summary

Jaclyn Johnson is a registered healthcare professional specializing in Licensed Practical Nurse in Poughkeepsie, NY. Practice services are available at 370 CEDAR VALLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

370 Cedar Valley Rd

Poughkeepsie, NY 12603

Telephone 8456254567

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Poughkeepsie, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
434 Specialists

Practicing in Poughkeepsie, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-12
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 322960

An individual 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
322960 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 12, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2019

Registered at 370 CEDAR VALLEY RD, POUGHKEEPSIE, NY 12603 (Tel: 8456254567)

📍
Updated Business Mailing Address December 12, 2019

Registered at 370 CEDAR VALLEY RD, POUGHKEEPSIE, NY 12603 (Tel: 8456254567)

👤
Provider Name / Credentials Updated December 12, 2019

Recorded as JACLYN JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2019

Licensed Practical Nurse (License #322960 in NY)

🟢
Initial NPI Registration & Enumeration December 12, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013555812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2019
Last Update: December 12, 2019
Sole Proprietor: Yes

Mailing Address

370 Cedar Valley Rd

Poughkeepsie, NY 12603

Phone: 8456254567

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.