Prewett, Johann Nicholas

Prewett, Johann Nicholas is an individual health care provider with primary practice located at 1726 Kingsley Ave Suite 12, Orange Park FL 32073-4463. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Prewett, Johann Nicholas can be contacted via phone (904) 269-6071.

Contact Information

Primary practice address
1726 Kingsley Ave Suite 12 Orange Park FL 32073-4463
Phone: (904) 269-6071
Fax: (904) 269-6642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 4331 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY 4331 Florida

Profile Details

NPI number 1972539690
LBN Legal business name Prewett, Johann Nicholas
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 23rd, 2017 - about 8 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.

Request for update

Popular Providers