Dejohn, Denise L

Dejohn, Denise L is an individual health care provider with primary practice located at 4310 Londonderry Rd Suite 109, Harrisburg PA 17109-5300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dejohn, Denise L can be contacted via phone (717) 988-0611.

Contact Information

Primary practice address
4310 Londonderry Rd Suite 109 Harrisburg PA 17109-5300
Phone: (717) 988-0611
Fax: (717) 231-8778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010318 Pennsylvania

Profile Details

NPI number 1407087687
LBN Legal business name Dejohn, Denise L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Apr 21st, 2017 - about 9 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 1407087687 NPPES
Pennsylvania MEDICAID 102961268

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