Beuerlein, Johnna Lea

Beuerlein, Johnna Lea is an individual health care provider with primary practice located at 176C W University Pkwy # C , Jackson TN 38305-1616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beuerlein, Johnna Lea can be contacted via phone (731) 660-6915.

Contact Information

Primary practice address
176C W University Pkwy # C Jackson TN 38305-1616
Phone: (731) 660-6915
Fax: (731) 668-4557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6364 Tennessee

Profile Details

NPI number 1255382388
LBN Legal business name Beuerlein, Johnna Lea
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Nov 26th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255382388 NPPES
Tennessee MEDICAID 3908777

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