Johnson, Nancy Ellen

Johnson, Nancy Ellen is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Nancy Ellen can be contacted via phone (770) 535-3611.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036403 Georgia

Profile Details

NPI number 1043290307
LBN Legal business name Johnson, Nancy Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
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 1043290307 NPPES
Georgia Other 302578 WELLCARE
Georgia Other 4360675 WELLCARE
Georgia Other 302577 WELLCARE
Georgia Other 317570 WELLCARE
Georgia Other 302566 WELLCARE
Georgia Other 302576 WELLCARE
Georgia Other 1201604 WELLCARE
Georgia MEDICAID 000532298R WELLCARE
Georgia MEDICAID 000532298S WELLCARE
Georgia MEDICAID 000532298P WELLCARE
Georgia MEDICAID 000532298Q WELLCARE
Georgia Other 10033001 WELLCARE
Georgia MEDICAID 000532298N WELLCARE
Georgia Other 52450432 WELLCARE

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