Johnson, Shakita
Johnson, Shakita is an sole proprietor health care provider with primary practice located at 1520 Kensington Rd Ste 212 , Oak Brook IL 60523-2197. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Shakita can be contacted via phone (855) 687-7861.Contact Information
Primary practice address
1520 Kensington Rd Ste 212
Oak Brook IL 60523-2197
Phone: (855) 687-7861
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209025763 | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 041443879 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209025763 | Illinois |
Profile Details
NPI number | 1720710791 |
---|---|
LBN Legal business name | Johnson, Shakita |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2022 |
Last updated | Dec 14th, 2022 - about 2 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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