Johnson, Tracy Jo

Johnson, Tracy Jo is an individual health care provider with primary practice located at 10535 Park Meadows Blvd Ste 102 , Lone Tree CO 80124-8456. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Tracy Jo can be contacted via phone (303) 695-6106.

Contact Information

Primary practice address
10535 Park Meadows Blvd Ste 102 Lone Tree CO 80124-8456
Phone: (303) 695-6106
Fax: (303) 695-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0001221 Colorado

Profile Details

NPI number 1184709347
LBN Legal business name Johnson, Tracy Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated May 15th, 2023 - 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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