Johnson, Shirley K

Johnson, Shirley K is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Johnson, Shirley K can be contacted via phone (319) 467-5384.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 467-5384
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R143918-8 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R143918-8 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C077838 Iowa

Profile Details

NPI number 1336129816
LBN Legal business name Johnson, Shirley K
Credentials CPNP, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336129816 NPPES
Minnesota MEDICAID 322100800
Minnesota Other 500008374
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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