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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
Popular Providers
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Gunn, Joseph B
725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834 -
Johnson, Kevin R
1485 Jesse Jewell Pkwy Ne Suite 200, Gainesville GA 30501-3806 -
Cochran, Amy H
1485 Jesse Jewell Pkwy Ne Suite 200, Gainesville GA 30501-3801 -
Bisht-Nadler, Seema
3485 Mcever Rd Ste 100, Gainesville GA 30504-5552 -
Klacik, Stephen John
725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834 -
Finch, Cathryn S
1485 Jesse Jewell Pkwy Ne Suite 200, Gainesville GA 30501-3806 -
Aldridge, Howard Keith
725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834 -
Boyd, William Bradley
1485 Jesse Jewell Pkwy Ne Ste 200A , Gainesville GA 30501-3806