Type 1 individualNPI 1023739893
JACQUELINE ALTHEA JOHNS
163W00000X · MAHOPAC, NY
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 163W00000X | 163W00000X | Primary |
| 163WG0000X | 163WG0000X | Additional |
| 163WG0600X | 163WG0600X | Additional |
| 163WH0200X | 163WH0200X | Additional |
| 163WH1000X | 163WH1000X | Additional |
| 163WP0200X | 163WP0200X | Additional |
| 163WR0400X | 163WR0400X | Additional |
| 163WS0200X | 163WS0200X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s