Johnson, Brenda Lenae

Johnson, Brenda Lenae is an sole proprietor health care provider with primary practice located at 306 4Th St Suite G, Brookings SD 57006-1940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Brenda Lenae can be contacted via phone (605) 697-5352.

Contact Information

Primary practice address
306 4Th St Suite G Brookings SD 57006-1940
Phone: (605) 697-5352
Fax: (605) 610-1561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CP000650 South Dakota

Profile Details

NPI number 1710266473
LBN Legal business name Johnson, Brenda Lenae
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2011
Last updated Feb 3rd, 2016 - about 9 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 1710266473 NPPES
South Dakota MEDICAID 20110813516668

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