Johnson, Jill M
Johnson, Jill M is an individual health care provider with primary practice located at 39 Cumberland Gap Plz , Gray KY 40734-4536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Jill M can be contacted via phone (606) 526-9005.Contact Information
Primary practice address
39 Cumberland Gap Plz
Gray KY 40734-4536
Phone: (606) 526-9005
Fax: (606) 526-8606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3006871 | Kentucky |
Profile Details
| NPI number | 1700177292 |
|---|---|
| LBN Legal business name | Johnson, Jill M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2011 |
| Last updated | Jul 2nd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700177292 | NPPES |
| Kentucky | MEDICAID | 7100167610 |
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