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
Fax: (479) 725-6582
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932417003 NPPES
Arkansas MEDICAID 193080758

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