Johnson, Deanna V
Johnson, Deanna V is an sole proprietor health care provider with primary practice located at 10 Brook End Dr , West Orange NJ 07052-1303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Johnson, Deanna V can be contacted via phone (973) 325-7345.Contact Information
Primary practice address
10 Brook End Dr
West Orange NJ 07052-1303
Phone: (973) 325-7345
Fax: (973) 325-3715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 26NR04888600 | New Jersey |
Profile Details
| NPI number | 1003820994 |
|---|---|
| LBN Legal business name | Johnson, Deanna V |
| Credentials | M.S., R.N., APN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003820994 | NPPES |
| New Jersey | MEDICAID | 8036501 |
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