Johnson, Katrina M

Johnson, Katrina M is an sole proprietor health care provider with primary practice located at 10225 Magnolia Ridge Dr , Jacksonville FL 32210-4991. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Johnson, Katrina M can be contacted via phone (904) 923-3505.

Contact Information

Primary practice address
10225 Magnolia Ridge Dr Jacksonville FL 32210-4991
Phone: (904) 923-3505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1063970358
LBN Legal business name Johnson, Katrina M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2019
Last updated Mar 6th, 2019 - about 7 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 1063970358 NPPES
Florida MEDICAID 100716400

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