Johnson, Mika Lynn

Johnson, Mika Lynn is an individual health care provider with primary practice located at 3333 W Deyoung St , Marion IL 62959-5884. 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 / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Johnson, Mika Lynn can be contacted via phone (618) 998-7000.

Contact Information

Primary practice address
3333 W Deyoung St Marion IL 62959-5884
Phone: (618) 998-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015838 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 277001258 Illinois

Profile Details

NPI number 1063846467
LBN Legal business name Johnson, Mika Lynn
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2013
Last updated Feb 20th, 2023 - about 3 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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