Johnson, Jerrilyn

Johnson, Jerrilyn is an individual health care provider with primary practice located at 8501 75Th St Suite J, Kenosha WI 53142-7602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Jerrilyn can be contacted via phone (262) 898-4400.

Contact Information

Primary practice address
8501 75Th St Suite J Kenosha WI 53142-7602
Phone: (262) 898-4400
Fax: (262) 764-6157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1069 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1069-23 Wisconsin

Profile Details

NPI number 1568496990
LBN Legal business name Johnson, Jerrilyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 20th, 2021 - about 5 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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