Johnson, Jessica Marie
Johnson, Jessica Marie is an sole proprietor health care provider with primary practice located at 448 Old Clairton Rd , Jefferson Hills PA 15025-3034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Jessica Marie can be contacted via phone (814) 265-1164.Contact Information
Primary practice address
448 Old Clairton Rd
Jefferson Hills PA 15025-3034
Phone: (814) 265-1164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP012520 | Pennsylvania |
Profile Details
| NPI number | 1407197734 |
|---|---|
| LBN Legal business name | Johnson, Jessica Marie |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2013 |
| Last updated | Mar 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407197734 | NPPES |
| Pennsylvania | Other | 017167 | CRNP PRESCRIPTIVE AUTHORITY |
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