Johnson, Amy M.

Johnson, Amy M. is an sole proprietor health care provider with primary practice located at #5 4Th Ave. E. , Polson MT 59860. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Amy M. can be contacted via phone (406) 745-3525.

Contact Information

Primary practice address
#5 4Th Ave. E. Polson MT 59860
Phone: (406) 745-3525
Fax: (406) 745-3529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AP60763595 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X NUR-APRN-LIC-100778 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NUR-APRN-LIC-100778 Montana

Profile Details

NPI number 1386058345
LBN Legal business name Johnson, Amy M.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2014
Last updated May 1st, 2024 - about 2 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 1386058345 NPPES
Washington MEDICAID 1386058345

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