Johnson, Heather
Johnson, Heather is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762-0845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Johnson, Heather can be contacted via phone (479) 725-6880.Contact Information
Primary practice address
2601 Gene George Blvd
Springdale AR 72762-0845
Phone: (479) 725-6880
Fax: (479) 725-6582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | A003449 | Arkansas |
Profile Details
NPI number | 1932417003 |
---|---|
LBN Legal business name | Johnson, Heather |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2010 |
Last updated | Dec 17th, 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 | 1932417003 | NPPES |
Arkansas | MEDICAID | 193080758 |
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