Johnson, Kimberly Marie

Johnson, Kimberly Marie is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr , Ann Arbor MI 48105-9484. 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, Kimberly Marie can be contacted via phone (734) 998-6022.

Contact Information

Primary practice address
24 Frank Lloyd Wright Dr Ann Arbor MI 48105-9484
Fax: (734) 998-9139
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704207635 Michigan

Profile Details

NPI number 1679546865
LBN Legal business name Johnson, Kimberly Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 25th, 2013 - about 11 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 1679546865 NPPES
Michigan MEDICAID 4830324-10
Michigan Other 5008657390

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