Cornelius-Johnson, Joandra

Cornelius-Johnson, Joandra is an individual health care provider with primary practice located at 1600 E Desert Inn Rd Ste 120 , Las Vegas NV 89169-2505. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Cornelius-Johnson, Joandra can be contacted via phone (702) 326-8594.

Contact Information

Primary practice address
1600 E Desert Inn Rd Ste 120 Las Vegas NV 89169-2505
Phone: (702) 326-8594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1093103913
LBN Legal business name Cornelius-Johnson, Joandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2014
Last updated Feb 24th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093103913 NPPES
Nevada MEDICAID 1659768745

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