Johnson, Lauren P

Johnson, Lauren P is an individual health care provider with primary practice located at 8075 Gate Parkway W Suite 305, Jacksonville FL 32216. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Johnson, Lauren P can be contacted via phone (904) 269-2992.

Contact Information

Primary practice address
8075 Gate Parkway W Suite 305 Jacksonville FL 32216
Phone: (904) 269-2992
Fax: (904) 296-2993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9247061 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004832 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9247061 Florida

Profile Details

NPI number 1992026967
LBN Legal business name Johnson, Lauren P
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2010
Last updated May 4th, 2022 - about 4 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 1992026967 NPPES
Florida MEDICAID 004876400

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