Johnson, Dana Michelle

Johnson, Dana Michelle is an individual health care provider with primary practice located at 6701 Airport Blvd Suite D-430, Mobile AL 36608-6705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Johnson, Dana Michelle can be contacted via phone (251) 639-2101.

Contact Information

Primary practice address
6701 Airport Blvd Suite D-430 Mobile AL 36608-6705
Phone: (251) 639-2101
Fax: (251) 639-9122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1-035293 Alabama

Profile Details

NPI number 1619289915
LBN Legal business name Johnson, Dana Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2010
Last updated Aug 29th, 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 1619289915 NPPES
Alabama Other 511-08436 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 126740 BLUE CROSS BLUE SHIELD

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