Johnson, Kristan Leeann

Johnson, Kristan Leeann is an individual health care provider with primary practice located at 571 S Allen Rd , Flat Rock NC 28731. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Kristan Leeann can be contacted via phone (828) 692-6178.

Contact Information

Primary practice address
571 S Allen Rd Flat Rock NC 28731
Phone: (828) 692-6178
Fax: (828) 356-3998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5008151 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5008151 North Carolina

Profile Details

NPI number 1083966113
LBN Legal business name Johnson, Kristan Leeann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2012
Last updated Apr 13th, 2023 - 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 1083966113 NPPES
North Carolina Other 5008151 NURSE PRACTIONER
North Carolina Other 276187 NURSE PRACTIONER
North Carolina MEDICAID 7100270770 NURSE PRACTIONER

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