Johnson, Jordin Bernice
Johnson, Jordin Bernice is an individual health care provider with primary practice located at 3654 Revolutionary Dr , Columbus OH 43207-6535. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Jordin Bernice can be contacted via phone (614) 390-5091.Contact Information
Primary practice address
3654 Revolutionary Dr
Columbus OH 43207-6535
Phone: (614) 390-5091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | Ohio | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2405168 | Ohio |
Profile Details
| NPI number | 1316461056 |
|---|---|
| LBN Legal business name | Johnson, Jordin Bernice |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2017 |
| Last updated | Apr 9th, 2024 - about 7 months 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 | 1316461056 | NPPES |
| Ohio | MEDICAID | 31-1258042 |
Popular Providers
-
Hill, Helen Scragg
1170 Old Henderson Rd Ste 216 Suite 305, Columbus OH 43220-7601 -
Reynolds, Arthur Richard
16 W Long St , Columbus OH 43215-2815 -
Yeager, Kenneth R
1670 Upham Dr , Columbus OH 43210-1250 -
Light, Irmina
1272 Hope Ave , Columbus OH 43212-3576 -
Settel, Christopher
444 Butterfly Gardens Dr , Columbus OH 43215-3427 -
Morrison, Jacqueline Hinsley
1670 Upham Drive , Columbus OH 43210-1250 -
Lowenstein, Luanne
691 S 5Th St , Columbus OH 43206-2120 -
Yost, Susan M
2759 Plymouth Ave , Columbus OH 43209-1824