Johnsen, Debra A

Johnsen, Debra A is an individual health care provider with primary practice located at 3120 Burnet Ave , Cincinnati OH 45229-3091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnsen, Debra A can be contacted via phone (513) 584-8600.

Contact Information

Primary practice address
3120 Burnet Ave Cincinnati OH 45229-3091
Phone: (513) 584-8600
Fax: (513) 584-8620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-03967 Ohio

Profile Details

NPI number 1104874254
LBN Legal business name Johnsen, Debra A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 19th, 2018 - about 6 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 1104874254 NPPES
Ohio Other P00194628 RAIL ROAD MEDICARE
Ohio MEDICAID 78012465 RAIL ROAD MEDICARE
Ohio MEDICAID 200508940 RAIL ROAD MEDICARE
Ohio MEDICAID 2499167 RAIL ROAD MEDICARE

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