Johnson, Leeann
Johnson, Leeann is an individual health care provider with primary practice located at 3570 W 9000 S Ste 100, West Jordan UT 84088-8869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Leeann can be contacted via phone (801) 569-1999.Contact Information
Primary practice address
3570 W 9000 S Ste 100
West Jordan UT 84088-8869
Phone: (801) 569-1999
Fax: (801) 569-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 295486-4405 | Utah |
Profile Details
| NPI number | 1942462825 |
|---|---|
| LBN Legal business name | Johnson, Leeann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2008 |
| Last updated | May 8th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942462825 | NPPES |
| Utah | Other | 295486-4408 | LICENSE |
| Utah | MEDICAID | 1164672770 | LICENSE |
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