Johnson, Mona R

Johnson, Mona R is an individual health care provider with primary practice located at 1600 Jenks Ave , Panama City FL 32405-4644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Mona R can be contacted via phone (850) 763-6666.

Contact Information

Primary practice address
1600 Jenks Ave Panama City FL 32405-4644
Phone: (850) 763-6666
Fax: (850) 763-6665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1023968 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9281201 Florida

Profile Details

NPI number 1205813383
LBN Legal business name Johnson, Mona R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 8th, 2009 - about 17 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 1205813383 NPPES
Florida Other G900G BLUE CROSS BLUE SHIELD OF FLORIDA

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