Johnson, Rebecca G
Johnson, Rebecca G is an individual health care provider with primary practice located at 1532 Lone Oak Rd Ste 245 , Paducah KY 42003-7941. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Johnson, Rebecca G can be contacted via phone (270) 538-5700.Contact Information
Primary practice address
1532 Lone Oak Rd Ste 245
Paducah KY 42003-7941
Phone: (270) 538-5700
Fax: (270) 538-5701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 3006383 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 3006383 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | APN16127 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 6383M | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 3006383 | Kentucky |
Profile Details
| NPI number | 1285957308 |
|---|---|
| LBN Legal business name | Johnson, Rebecca G |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2010 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285957308 | NPPES |
| Kentucky | Other | 7100203570 | KY MEDICAID |
| Kentucky | MEDICAID | 1525514 | KY MEDICAID |
| Kentucky | Other | 3380640 | KY MEDICAID |
| Kentucky | Other | K009831 | KY MEDICAID |
| Kentucky | Other | 3380640 | KY MEDICAID |
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