Johnson, Molly T

Johnson, Molly T is an individual health care provider with primary practice located at 305 W Jackson St Ste 200, Carbondale IL 62901-1474. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Molly T can be contacted via phone (618) 453-3777.

Contact Information

Primary practice address
305 W Jackson St Ste 200 Carbondale IL 62901-1474
Phone: (618) 453-3777
Fax: (618) 453-1102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209-000639 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-000639 Illinois

Profile Details

NPI number 1386727519
LBN Legal business name Johnson, Molly T
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 20th, 2018 - about 6 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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