Johnson, Jill Susan
Johnson, Jill Susan is an individual health care provider with primary practice located at 600 Old Frankfort Cir , Lexington KY 40510-9689. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Johnson, Jill Susan can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
600 Old Frankfort Cir
Lexington KY 40510-9689
Phone: (859) 253-1686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 2020402 | Kentucky |
Profile Details
| NPI number | 1679205728 |
|---|---|
| LBN Legal business name | Johnson, Jill Susan |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2022 |
| Last updated | Jun 28th, 2022 - about 3 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 | 1679205728 | NPPES |
| Kentucky | MEDICAID | 1790731081 |
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