Johnson, Jennifer M

Johnson, Jennifer M is an individual health care provider with primary practice located at 640 Jackson St - Mc11108B Healthpartners Regions Specialty Clinics, St. Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Jennifer M can be contacted via phone (651) 254-4816.

Contact Information

Primary practice address
640 Jackson St - Mc11108B Healthpartners Regions Specialty Clinics St. Paul MN 55101-2502
Phone: (651) 254-4816
Fax: (651) 254-2801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1450646 Minnesota

Profile Details

NPI number 1427026426
LBN Legal business name Johnson, Jennifer M
Credentials 1 CNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 8th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427026426 NPPES
Minnesota MEDICAID 433078100

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