Johnson, Jessica Rodrigues
Johnson, Jessica Rodrigues is an individual health care provider with primary practice located at 3555 Lutheran Parkway Suite 340, Wheat Ridge CO 80033. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Johnson, Jessica Rodrigues can be contacted via phone (303) 996-6005.Contact Information
Primary practice address
3555 Lutheran Parkway Suite 340
Wheat Ridge CO 80033
Phone: (303) 996-6005
Fax: (303) 420-8831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3223 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3223 | Colorado |
Profile Details
| NPI number | 1568759983 |
|---|---|
| LBN Legal business name | Johnson, Jessica Rodrigues |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2011 |
| Last updated | Oct 26th, 2020 - about 4 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 | 1568759983 | NPPES |
| Colorado | MEDICAID | 23722321 |
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