Johnson, Jennifer White

Johnson, Jennifer White is an individual health care provider with primary practice located at 4900 Kelley Highway , Fort Smith AR 72904-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Jennifer White can be contacted via phone (479) 785-5700.

Contact Information

Primary practice address
4900 Kelley Highway Fort Smith AR 72904-5000
Fax: (479) 785-5708
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E2929 Arkansas

Profile Details

NPI number 1427109552
LBN Legal business name Johnson, Jennifer White
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427109552 NPPES
Arkansas MEDICAID 143530001

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