Johnson, Karen Gail Smith

Johnson, Karen Gail Smith is an sole proprietor health care provider with primary practice located at 603 Scenic Circle , Bonifay FL 32425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Karen Gail Smith can be contacted via phone (850) 437-8500.

Contact Information

Primary practice address
603 Scenic Circle Bonifay FL 32425
Phone: (850) 437-8500
Fax: (850) 547-8515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP1846312 Florida

Profile Details

NPI number 1780647180
LBN Legal business name Johnson, Karen Gail Smith
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2006
Last updated Dec 20th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780647180 NPPES
Florida MEDICAID 301077500

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