Johnson, Jacqueline Brooke

Johnson, Jacqueline Brooke is an sole proprietor health care provider with primary practice located at 430 Morton Plant St Suite 301, Clearwater FL 33756-3395. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Jacqueline Brooke can be contacted via phone (727) 461-6026.

Contact Information

Primary practice address
430 Morton Plant St Suite 301 Clearwater FL 33756-3395
Phone: (727) 461-6026
Fax: (727) 461-1492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9109476 Florida

Profile Details

NPI number 1346693231
LBN Legal business name Johnson, Jacqueline Brooke
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2016
Last updated Oct 13th, 2016 - about 10 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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