Nesse, Johanna Clara
Nesse, Johanna Clara is an individual health care provider with primary practice located at 1620 E 12Th St , The Dalles OR 97058-3213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nesse, Johanna Clara can be contacted via phone (541) 296-9151.Contact Information
Primary practice address
1620 E 12Th St
The Dalles OR 97058-3213
Phone: (541) 296-9151
Fax: (541) 296-9156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 990369 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20120079NP | Oregon |
Profile Details
| NPI number | 1356607931 |
|---|---|
| LBN Legal business name | Nesse, Johanna Clara |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2012 |
| Last updated | Sep 13th, 2012 - about 12 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 | 1356607931 | NPPES |
| Oregon | MEDICAID | 500632165 | |
| Oregon | MEDICAID | 218103 | |
| Oregon | MEDICAID | 218112 |
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