Johnson, Jacqueline

Johnson, Jacqueline is an individual health care provider with primary practice located at 101 Park Pl , Selma AL 36701-6764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Johnson, Jacqueline can be contacted via phone (334) 874-7428.

Contact Information

Primary practice address
101 Park Pl Selma AL 36701-6764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AG06190206 Alabama

Profile Details

NPI number 1578118048
LBN Legal business name Johnson, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2019
Last updated Sep 14th, 2020 - about 4 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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