Individual provider · Type 1 NPI

Ella Evona Johnson

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1902636004 Active

Practice location

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690

Call (801) 373-4760 Map

Mailing address

435 N 5th St
Phoenix, AZ 85004-2157

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902636004

Ella Evona Johnson's National Provider Identifier is 1902636004, issued on Aug 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Aug 28, 2026.