Johnson, Katelyn Beebe

Johnson, Katelyn Beebe is an individual health care provider with primary practice located at 703 Virginia St , Dunedin FL 34698-6615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Katelyn Beebe can be contacted via phone (727) 734-4000.

Contact Information

Primary practice address
703 Virginia St Dunedin FL 34698-6615
Phone: (727) 734-4000
Fax: (727) 738-5037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9380355 Florida

Profile Details

NPI number 1497990782
LBN Legal business name Johnson, Katelyn Beebe
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2008
Last updated Jul 21st, 2016 - about 8 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 1497990782 NPPES
Maryland MEDICAID 419117000

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