Johnson, Jessica Lynne

Johnson, Jessica Lynne is an sole proprietor health care provider with primary practice located at 12430 Tesson Ferry Rd Suite 352, Saint Louis MO 63128-2702. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Johnson, Jessica Lynne can be contacted via phone (866) 495-5437.

Contact Information

Primary practice address
12430 Tesson Ferry Rd Suite 352 Saint Louis MO 63128-2702
Phone: (866) 495-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2006030617 Missouri

Profile Details

NPI number 1215063730
LBN Legal business name Johnson, Jessica Lynne
Credentials OTR,L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 19 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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