Johnson, Valerie
Johnson, Valerie is an individual health care provider with primary practice located at 117 W Sycamore St , Kokomo IN 46901-4634. 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, Valerie can be contacted via phone (765) 854-2440.Contact Information
Primary practice address
117 W Sycamore St
Kokomo IN 46901-4634
Phone: (765) 854-2440
Fax: (765) 854-2450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002727 | Indiana |
Profile Details
| NPI number | 1629227434 |
|---|---|
| LBN Legal business name | Johnson, Valerie |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2008 |
| Last updated | Sep 29th, 2014 - about 10 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 | 1629227434 | NPPES |
| Indiana | MEDICAID | 200919480 |
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