Johnson, Molly

Johnson, Molly is an individual health care provider with primary practice located at 800 S Church St Ste 400 , Jonesboro AR 72401-4112. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Molly can be contacted via phone (870) 935-6012.

Contact Information

Primary practice address
800 S Church St Ste 400 Jonesboro AR 72401-4112
Phone: (870) 935-6012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R096554 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005817 Arkansas

Profile Details

NPI number 1821470733
LBN Legal business name Johnson, Molly
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2015
Last updated Mar 5th, 2019 - about 5 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 1821470733 NPPES
Arkansas MEDICAID 229158758

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