Johnson, Erica L
Johnson, Erica L is an sole proprietor health care provider with primary practice located at 1125 W Woodruff Ave , Toledo OH 43606-4853. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Johnson, Erica L can be contacted via phone (419) 206-7258.Contact Information
Primary practice address
1125 W Woodruff Ave
Toledo OH 43606-4853
Phone: (419) 206-7258
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 61151126 | Washington |
| Nursing Service Providers / Registered Nurse | 163W00000X | 256698-30 | Wisconsin |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN270058 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN-CNP026168 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 10456-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN.CNP026168 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 61151704 | Washington |
Profile Details
| NPI number | 1336395706 |
|---|---|
| LBN Legal business name | Johnson, Erica L |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2008 |
| Last updated | Jun 20th, 2021 - about 3 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 | 1336395706 | NPPES |
| Ohio | MEDICAID | 0403888 |
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