Johnson, Rachael O

Johnson, Rachael O is an individual health care provider with primary practice located at 404 S. Lewis Ln , Carbondale IL 62901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Rachael O can be contacted via phone (618) 519-9200.

Contact Information

Primary practice address
404 S. Lewis Ln Carbondale IL 62901
Phone: (618) 519-9200
Fax: (618) 549-1288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209018485 Illinois

Profile Details

NPI number 1306317383
LBN Legal business name Johnson, Rachael O
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated Dec 19th, 2018 - about 8 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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