Johnson, Janna Marie
Johnson, Janna Marie is an individual health care provider with primary practice located at 2100 Market St , Charlestown IN 47111-9535. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Janna Marie can be contacted via phone (812) 503-5100.Contact Information
Primary practice address
2100 Market St
Charlestown IN 47111-9535
Phone: (812) 503-5100
Fax: (812) 288-6603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 71011239A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71011239A | Indiana |
Profile Details
NPI number | 1255004313 |
---|---|
LBN Legal business name | Johnson, Janna Marie |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2021 |
Last updated | Nov 8th, 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 | 1255004313 | NPPES |
Indiana | MEDICAID | 300053678 | |
Indiana | Other | IN3604044 |
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