# JOHANNE SAJOUS HHCSR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134760770
- **Authorized official:** MRS. FARAH EDWIDGE JOHANNE SAJOUS FNP-C (OWNER)
- **Authorized official phone:** (571) 432-6769

## Contact information

- **Practice address:** 9351 PINTO DR, LAKE WORTH, FL 33467-1035
- **Practice address phone:** (571) 432-6769
- **Practice address fax:** (336) 279-1226
- **Mailing address:** 2627 GRIMSLEY ST, GREENSBORO, NC 27403-3135
- **Mailing address phone:** (336) 279-1227
- **Mailing address fax:** (336) 279-1226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/04/2019
- **Last updated:** 11/03/2021