Freeman, Johnna L

Freeman, Johnna L is an individual health care provider with primary practice located at 19600 E 39Th St S , Independence MO 64057-2301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Freeman, Johnna L can be contacted via phone (816) 698-8153.

Contact Information

Primary practice address
19600 E 39Th St S Independence MO 64057-2301
Phone: (816) 698-8153
Fax: (816) 698-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9781 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 45376 Kansas

Profile Details

NPI number 1538254198
LBN Legal business name Freeman, Johnna L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 7th, 2020 - about 5 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 1538254198 NPPES
Wisconsin MEDICAID 100095801
Wisconsin Other 460580
Wisconsin Other 161237
Wisconsin MEDICAID 200252060A

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