Johnson, Karisha Jakole

Johnson, Karisha Jakole is an individual health care provider with primary practice located at 3800 S W S Young Dr Ste 201 , Killeen TX 76542-3340. 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, Karisha Jakole can be contacted via phone (254) 245-9175.

Contact Information

Primary practice address
3800 S W S Young Dr Ste 201 Killeen TX 76542-3340
Phone: (254) 245-9175
Fax: (254) 213-7771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP132750 Texas

Profile Details

NPI number 1578008926
LBN Legal business name Johnson, Karisha Jakole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2016
Last updated Sep 12th, 2023 - about 3 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 1578008926 NPPES
Texas MEDICAID 366584601

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