Johnson, Jodi L

Johnson, Jodi L is an individual health care provider with primary practice located at 220 Wilson St Suite 200, Carlisle PA 17013-3697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Jodi L can be contacted via phone (717) 243-7540.

Contact Information

Primary practice address
220 Wilson St Suite 200 Carlisle PA 17013-3697
Phone: (717) 243-7540
Fax: (717) 243-9968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP007500 Pennsylvania

Profile Details

NPI number 1639137821
LBN Legal business name Johnson, Jodi L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 6th, 2017 - about 9 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 1639137821 NPPES
Pennsylvania Other 50001116 CAPITAL BLUE CROSS IND

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