Johnson, Denise
Johnson, Denise is an individual health care provider with primary practice located at 125 King Ave Ste 200 , Athens GA 30606-6710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Denise can be contacted via phone (770) 496-9430.Contact Information
Primary practice address
125 King Ave Ste 200
Athens GA 30606-6710
Phone: (770) 496-9430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN123212 | Georgia |
Profile Details
| NPI number | 1285826271 |
|---|---|
| LBN Legal business name | Johnson, Denise |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Jan 23rd, 2024 - about 11 months 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 | 1285826271 | NPPES |
| Georgia | MEDICAID | 1285826271 | |
| Georgia | Other | 1285826271 |
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