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Active NPI 1952694341 Organization (Entity Type 2)

Aging Successfully Pc

Nurse Practitioner - Gerontology • Murphy, TX

About Aging Successfully Pc NPI 1952694341 Summary

Aging Successfully Pc is a verified healthcare organization specializing in Nurse Practitioner - Gerontology operating in Murphy, TX. Located at 115 SPRING RIDGE DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1952694341.

Administrative operations and authorized compliance are overseen by Jody Johnson (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

115 Spring Ridge Dr

Murphy, TX 750944267

Telephone 9723840694

Authorized Official Information

Authorized Contact Name

Jody Johnson , NP

Title / Role

Owner

Official Telephone

9723840694

Facility Classifications & Specialties

Nurse Practitioner - Gerontology Primary Taxonomy

NUCC Taxonomy Code: 363LG0600X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Jody Johnson , NP NPI 1689867145

Nurse Practitioner - Gerontology

Murphy, TX

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2012

Registered at 115 SPRING RIDGE DR, MURPHY, TX 750944267 (Tel: 9723840694)

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Updated Business Mailing Address February 07, 2012

Registered at 115 SPRING RIDGE DR, MURPHY, TX 750944267 (Tel: 9723840694)

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Organization / Clinic Name Updated February 07, 2012

Operating as AGING SUCCESSFULLY PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Nurse Practitioner

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Initial NPI Registration & Enumeration May 18, 2011

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1952694341
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 18, 2011
Last Update: February 07, 2012

Mailing Address

115 Spring Ridge Dr

Murphy, TX 750944267

Phone: 9723840694

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.