Johnston, Jennifer H

Johnston, Jennifer H is an individual health care provider with primary practice located at 1824 Memorial Dr , Clarksville TN 37043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnston, Jennifer H can be contacted via phone (931) 552-6070.

Contact Information

Primary practice address
1824 Memorial Dr Clarksville TN 37043
Phone: (931) 552-6070
Fax: (931) 552-9896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37376 Tennessee

Profile Details

NPI number 1962436105
LBN Legal business name Johnston, Jennifer H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 7th, 2010 - about 14 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 1962436105 NPPES
Tennessee Other 4071299 BLUE CROSS
Tennessee MEDICAID 3885750 BLUE CROSS

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