Johnson, Karen Elaine

Johnson, Karen Elaine is an individual health care provider with primary practice located at 40 Table Rock Rd , Wakefield RI 02879-1825. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Diabetes Educator. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Karen Elaine can be contacted via phone (401) 714-8079.

Contact Information

Primary practice address
40 Table Rock Rd Wakefield RI 02879-1825
Phone: (401) 714-8079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CAPRN00318 Rhode Island
Nursing Service Providers / Diabetes Educator 163WD0400X RN18416 Rhode Island

Profile Details

NPI number 1720296916
LBN Legal business name Johnson, Karen Elaine
Credentials MA, MSN, APRN, CNP,
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2007
Last updated Apr 9th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1720296916 NPPES
Rhode Island MEDICAID KJ78814

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