Johnson, Judith L

Johnson, Judith L is an individual health care provider with primary practice located at 1108 Ross Clark Cir Hospitalist Office, Dothan AL 36301-3022. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Judith L can be contacted via phone (334) 712-3635.

Contact Information

Primary practice address
1108 Ross Clark Cir Hospitalist Office Dothan AL 36301-3022
Phone: (334) 712-3635
Fax: (334) 699-4387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2188812 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-095402 Alabama

Profile Details

NPI number 1679576268
LBN Legal business name Johnson, Judith L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated May 1st, 2024 - about 2 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 1679576268 NPPES
Florida MEDICAID 305523000

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