Yvette Johnson

LBN: Impacthealth, Llc
Yvette Johnson is an health care organization with primary practice located at 3219 N 51St Blvd , Milwaukee WI 53216-3235. The organization recently has only one registered license in Nursing Service Providers / Community Health, which is considered as the primary health care specialty. Impacthealth, Llc can be contacted via phone (414) 771-0543, or through Johnson, Yvette via phone (414) 771-0543.

Contact Information

Primary practice address
3219 N 51St Blvd Milwaukee WI 53216-3235
Phone: (414) 771-0543
Fax: (262) 649-4375
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Yvette Advanced Practice Registered Nurse (APRN)
Phone: (414) 771-0543

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 10158-30 Wisconsin

Profile Details

NPI number 1104264001
LBN Legal business name Impacthealth, Llc
DBA Doing business as Yvette Johnson
Authorized official Johnson, Yvette Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2013
Last updated Jan 14th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104264001 NPPES
Wisconsin MEDICAID 1073805255

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