Johnson, Jacqueline Michelle

Johnson, Jacqueline Michelle is an sole proprietor health care provider with primary practice located at 4321 Washington St Ste 6100 , Kansas City MO 64111. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Johnson, Jacqueline Michelle can be contacted via phone (816) 932-3470.

Contact Information

Primary practice address
4321 Washington St Ste 6100 Kansas City MO 64111
Phone: (816) 932-3470
Fax: (816) 932-6888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 124618 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2017040108 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2017040108 Missouri

Profile Details

NPI number 1720579808
LBN Legal business name Johnson, Jacqueline Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2018
Last updated Aug 8th, 2018 - about 6 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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