Johnson, Jeffrey Paul

Johnson, Jeffrey Paul is an individual health care provider with primary practice located at 1600 N Main Ave , Lovington NM 88260-2813. He recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Johnson, Jeffrey Paul can be contacted via phone (575) 396-6611.

Contact Information

Primary practice address
1600 N Main Ave Lovington NM 88260-2813
Phone: (575) 396-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3061 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 168340 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10141 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 61768 New Mexico

Profile Details

NPI number 1255667440
LBN Legal business name Johnson, Jeffrey Paul
Credentials APN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2009
Last updated Jan 4th, 2022 - about 4 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 1255667440 NPPES
Colorado MEDICAID 96657251
Colorado MEDICAID 87703076

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