Johnson, Jacqueline Ballew

Johnson, Jacqueline Ballew is an sole proprietor health care provider with primary practice located at 619 Nw 23Rd St , Oklahoma City OK 73103-1415. 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 Ballew can be contacted via phone (405) 528-0221.

Contact Information

Primary practice address
619 Nw 23Rd St Oklahoma City OK 73103-1415
Fax: (405) 528-1517
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ROO68670 Oklahoma

Profile Details

NPI number 1932416328
LBN Legal business name Johnson, Jacqueline Ballew
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2010
Last updated Sep 7th, 2010 - about 15 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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