Johnston, Jennessa R

Johnston, Jennessa R is an individual health care provider with primary practice located at 806 W Jackson St , Muncie IN 47305-1551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Johnston, Jennessa R can be contacted via phone (765) 281-4263.

Contact Information

Primary practice address
806 W Jackson St Muncie IN 47305-1551
Phone: (765) 281-4263
Fax: (765) 286-1737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71003503A Indiana

Profile Details

NPI number 1184924524
LBN Legal business name Johnston, Jennessa R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2010
Last updated Jan 13th, 2021 - about 3 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 1184924524 NPPES
Indiana Other P01303727 RAILROAD MEDICARE
Indiana MEDICAID 201006660 RAILROAD MEDICARE

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