Johnson, Jill M

Johnson, Jill M is an individual health care provider with primary practice located at 415 Main St , Summersville WV 26651-1343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Jill M can be contacted via phone (304) 872-1663.

Contact Information

Primary practice address
415 Main St Summersville WV 26651-1343
Phone: (304) 872-1663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X PMHNP71327WV West Virginia

Profile Details

NPI number 1821507492
LBN Legal business name Johnson, Jill M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2017
Last updated Mar 21st, 2022 - 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.

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