Johnson, Paul Kirk

Johnson, Paul Kirk is an individual health care provider with primary practice located at 3333 W 20Th St , Jacksonville FL 32254-1703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Johnson, Paul Kirk can be contacted via phone (904) 695-9145.

Contact Information

Primary practice address
3333 W 20Th St Jacksonville FL 32254-1703
Phone: (904) 695-9145
Fax: (904) 695-2465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP2557342 Florida

Profile Details

NPI number 1932219987
LBN Legal business name Johnson, Paul Kirk
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 19th, 2009 - about 15 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 1932219987 NPPES
Florida MEDICAID 0708861

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