Johnell, Patrice

Johnell, Patrice is an individual health care provider with primary practice located at 21610 Pacific Hwy , Ocean Park WA 98640-9864. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnell, Patrice can be contacted via phone (360) 665-3000.

Contact Information

Primary practice address
21610 Pacific Hwy Ocean Park WA 98640-9864
Phone: (360) 665-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-128942 Colorado
Nursing Service Providers / Registered Nurse 163W00000X RN-9246598 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-10143 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60697111 Washington

Profile Details

NPI number 1053640656
LBN Legal business name Johnell, Patrice
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2009
Last updated Oct 19th, 2020 - about 4 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 1053640656 NPPES
Colorado MEDICAID 28528506

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