Johnson, Mary Jayne Mabrey

Johnson, Mary Jayne Mabrey is an individual health care provider with primary practice located at 847 W Childs Ave , Merced CA 95341-6862. 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, Mary Jayne Mabrey can be contacted via phone (209) 384-6481.

Contact Information

Primary practice address
847 W Childs Ave Merced CA 95341-6862
Phone: (209) 384-6481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APT0007476 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95026427 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 197104-4405 Utah

Profile Details

NPI number 1225123888
LBN Legal business name Johnson, Mary Jayne Mabrey
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 22nd, 2023 - about 2 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 1225123888 NPPES
Washington Other P01522254 RR PTAN
Washington MEDICAID 1225123888 RR PTAN

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