Johnson, Jerri L

Johnson, Jerri L is an individual health care provider with primary practice located at 5150 Bayou Blvd , Pensacola FL 32503-2158. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Johnson, Jerri L can be contacted via phone (850) 416-6710.

Contact Information

Primary practice address
5150 Bayou Blvd Pensacola FL 32503-2158
Phone: (850) 416-6710
Fax: (850) 416-6710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X PT20495 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT20495 Florida

Profile Details

NPI number 1225048093
LBN Legal business name Johnson, Jerri L
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 6th, 2020 - about 4 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 1225048093 NPPES
Florida MEDICAID 811308400
Florida MEDICAID 888000000

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