Johnson, Mois A
Johnson, Mois A is an individual health care provider with primary practice located at 203 W Main St , Farmington NM 87401-6244. She recently has 3 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 / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Johnson, Mois A can be contacted via phone (505) 517-4181.Contact Information
Primary practice address
203 W Main St
Farmington NM 87401-6244
Phone: (505) 517-4181
Fax: (505) 333-0444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209000639 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53658 | New Mexico |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 27001480 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | C-APN.0002620-C-NP | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 277001480 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | C-APN.002320-C-NP | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 53658 | New Mexico |
Profile Details
NPI number | 1083993273 |
---|---|
LBN Legal business name | Johnson, Mois A |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2011 |
Last updated | May 16th, 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 | 1083993273 | NPPES |
New Mexico | MEDICAID | 96336021 |
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