Johnson, Jessica Lyn

Johnson, Jessica Lyn is an sole proprietor health care provider with primary practice located at 3963 Maidstone Dr , Gahanna OH 43230-4513. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Johnson, Jessica Lyn can be contacted via phone (614) 316-8046.

Contact Information

Primary practice address
3963 Maidstone Dr Gahanna OH 43230-4513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1922417898
LBN Legal business name Johnson, Jessica Lyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2014
Last updated Aug 5th, 2014 - about 11 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 1922417898 NPPES
Ohio MEDICAID 2905146

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