Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNA NICCO LONG, FNP
Active Sole ProprietorJOHNNA NICCO LONG, FNP is a Family Nurse Practitioner healthcare provider located in EAGLE, Colorado. NPI 1447918800 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · EAGLE, CO
Registration Details
- NPI Number
- 1447918800
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2021 (4.5180785978836 yrs)
- Last Updated
- Dec 2, 2021
- License
-
APN.0997169-NP (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 GREENHORN AVEEAGLE, CO, 816316040Browse CO providers · Browse ZIP 81631
- Phone
- 9703897353
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in EAGLE, CO
| Name | Credential | NPI |
|---|---|---|
| LAVINA BEVERIDGE | APN 0995188 | 1417283250 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.