Johnson, Keri Lynn

Johnson, Keri Lynn is an individual health care provider with primary practice located at 8815 Germantown Ave Suite 40, Philadelphia PA 19118-2722. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Johnson, Keri Lynn can be contacted via phone (215) 248-3100.

Contact Information

Primary practice address
8815 Germantown Ave Suite 40 Philadelphia PA 19118-2722
Phone: (215) 248-3100
Fax: (215) 248-3971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X LH-0000229 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X SP006775V Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X L1-0026503 Delaware

Profile Details

NPI number 1881634459
LBN Legal business name Johnson, Keri Lynn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 10th, 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 1881634459 NPPES
Pennsylvania MEDICAID 101526057

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