Johnson, Jessica

Johnson, Jessica is an individual health care provider with primary practice located at 3303 Duval St , Jupiter FL 33458-8259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Johnson, Jessica can be contacted via phone (561) 248-6875.

Contact Information

Primary practice address
3303 Duval St Jupiter FL 33458-8259
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2827222 Florida

Profile Details

NPI number 1043776503
LBN Legal business name Johnson, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2019
Last updated Feb 20th, 2019 - about 6 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 1043776503 NPPES
Florida Other 2827222 STATE BOARD

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