Johnson, Lacey A
Johnson, Lacey A is an individual health care provider with primary practice located at 420 Hopkinsville St , Greenville KY 42345-1102. 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, Lacey A can be contacted via phone (270) 377-2440.Contact Information
Primary practice address
420 Hopkinsville St
Greenville KY 42345-1102
Phone: (270) 377-2440
Fax: (270) 377-2441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3008081 | Kentucky |
Profile Details
| NPI number | 1861832404 |
|---|---|
| LBN Legal business name | Johnson, Lacey A |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2013 |
| Last updated | Dec 13th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861832404 | NPPES |
| Kentucky | MEDICAID | 7100249540 |
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