Johnson, Paulette

Johnson, Paulette is an individual health care provider with primary practice located at 2100 N 7Th St , West Memphis AR 72301-2017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Paulette can be contacted via phone (870) 394-7804.

Contact Information

Primary practice address
2100 N 7Th St West Memphis AR 72301-2017
Phone: (870) 394-7804
Fax: (870) 394-7734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25872 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 901840 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 227301 Arkansas

Profile Details

NPI number 1508308131
LBN Legal business name Johnson, Paulette
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2016
Last updated Mar 28th, 2024 - about last year

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 1508308131 NPPES
Mississippi Other 888508 MEDICARE MS
Mississippi MEDICAID Q051318 MEDICARE MS
Mississippi MEDICAID 08527334 MEDICARE MS
Mississippi Other T10930A MEDICARE MS

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