Johnson, Jolene Lalliss
Johnson, Jolene Lalliss is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Johnson, Jolene Lalliss can be contacted via phone (801) 662-4100.Contact Information
Primary practice address
100 N Medical Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 3221574405 | Utah |
Profile Details
| NPI number | 1336322627 |
|---|---|
| LBN Legal business name | Johnson, Jolene Lalliss |
| Credentials | N.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2007 |
| Last updated | Dec 10th, 2007 - about 17 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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