Dichiara, Abbey Johnson

Dichiara, Abbey Johnson is an individual health care provider with primary practice located at 2323 5Th St N , Columbus MS 39705-2213. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dichiara, Abbey Johnson can be contacted via phone (662) 368-1169.

Contact Information

Primary practice address
2323 5Th St N Columbus MS 39705-2213
Phone: (662) 368-1169
Fax: (662) 570-1492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R888625 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20721 Tennessee

Profile Details

NPI number 1275907354
LBN Legal business name Dichiara, Abbey Johnson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2015
Last updated Jul 10th, 2019 - about 7 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 1275907354 NPPES
Tennessee Other 20721 APN -TN LICENSE

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