Provider Demographics
NPI:1720729254
Name:JOHNS, REBECCA ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:JOHNS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 N 78TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4112
Mailing Address - Country:US
Mailing Address - Phone:480-300-9505
Mailing Address - Fax:480-781-4862
Practice Address - Street 1:1901 E UNIVERSITY DR STE 200
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8308
Practice Address - Country:US
Practice Address - Phone:480-999-7911
Practice Address - Fax:480-499-5829
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN152911163W00000X
AZ280161363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse