Johnson, Jennifer Lynn

Johnson, Jennifer Lynn is an individual health care provider with primary practice located at 80 Seymour St , Hartford CT 06106-3300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Jennifer Lynn can be contacted via phone (860) 545-5000.

Contact Information

Primary practice address
80 Seymour St Hartford CT 06106-3300
Phone: (860) 545-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2002014117 Missouri

Profile Details

NPI number 1730186834
LBN Legal business name Johnson, Jennifer Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Dec 1st, 2023 - about 3 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 1730186834 NPPES
Other 431560263069 TRICARE
MEDICAID 159253001 TRICARE
MEDICAID 917262909 TRICARE

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