Johnson, Jerri Lynn

Johnson, Jerri Lynn is an individual health care provider with primary practice located at 1000 Craig Dr , Amarillo TX 79106-4015. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Jerri Lynn can be contacted via phone (806) 351-7070.

Contact Information

Primary practice address
1000 Craig Dr Amarillo TX 79106-4015
Phone: (806) 351-7070
Fax: (806) 351-7079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 541369 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 541369 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP104041 Texas

Profile Details

NPI number 1417956590
LBN Legal business name Johnson, Jerri Lynn
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 25th, 2017 - about 7 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 1417956590 NPPES
Texas MEDICAID 167564701

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