Johnson, Jennifer Davis
Johnson, Jennifer Davis is an individual health care provider with primary practice located at 1855 Springhill Ave , Mobile AL 36607-2301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Johnson, Jennifer Davis can be contacted via phone (251) 471-3544.Contact Information
Primary practice address
1855 Springhill Ave
Mobile AL 36607-2301
Phone: (251) 471-3544
Fax: (251) 476-7254
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-78 | Alabama |
Profile Details
NPI number | 1215935044 |
---|---|
LBN Legal business name | Johnson, Jennifer Davis |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1215935044 | NPPES |
Alabama | Other | 510-43956 | BLUE CROSS BLUE SHIELD |
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