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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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