Johnson, Jessica L

Johnson, Jessica L is an individual health care provider with primary practice located at 348 Maple St , Oneida NY 13421-2129. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Johnson, Jessica L can be contacted via phone (315) 363-8105.

Contact Information

Primary practice address
348 Maple St Oneida NY 13421-2129
Phone: (315) 363-8105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 10259165 New York

Profile Details

NPI number 1740331172
LBN Legal business name Johnson, Jessica L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740331172 NPPES
New York MEDICAID 02225529

Popular Providers