Johnson, Jessica

Johnson, Jessica is an individual health care provider with primary practice located at 450 Clinton St , Woonsocket RI 02895-3207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Jessica can be contacted via phone (401) 767-4100.

Contact Information

Primary practice address
450 Clinton St Woonsocket RI 02895-3207
Phone: (401) 767-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD164793 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD15987 Rhode Island

Profile Details

NPI number 1679831937
LBN Legal business name Johnson, Jessica
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Mar 19th, 2019 - about 5 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 1679831937 NPPES
Rhode Island MEDICAID 1679831937

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