Johnson, Debra Jo
Johnson, Debra Jo is an individual health care provider with primary practice located at 2545 Chicago Ave , Minneapolis MN 55404-4522. 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, Debra Jo can be contacted via phone (612) 863-4876.Contact Information
Primary practice address
2545 Chicago Ave
Minneapolis MN 55404-4522
Phone: (612) 863-4876
Fax: (612) 863-2596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R087208-9 | Minnesota |
Profile Details
| NPI number | 1841230869 |
|---|---|
| LBN Legal business name | Johnson, Debra Jo |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 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.
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