Johnson, Antallia Shauntell
Johnson, Antallia Shauntell is an individual health care provider with primary practice located at 2505 Us Hwy 431 Women'S Center Suite A , Boaz AL 35957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Antallia Shauntell can be contacted via phone (256) 840-4530.Contact Information
Primary practice address
2505 Us Hwy 431 Women'S Center Suite A
Boaz AL 35957
Phone: (256) 840-4530
Fax: (256) 840-4537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 1-154179 | Alabama |
Profile Details
| NPI number | 1710443767 |
|---|---|
| LBN Legal business name | Johnson, Antallia Shauntell |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2019 |
| Last updated | Feb 14th, 2019 - 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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