Johnson, Rebecca A.

Johnson, Rebecca A. is an individual health care provider with primary practice located at 836 Constellation Dr , Decatur GA 30033-2811. 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, Rebecca A. can be contacted via phone (434) 258-6517.

Contact Information

Primary practice address
836 Constellation Dr Decatur GA 30033-2811
Phone: (434) 258-6517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024095207 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP01065 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 291053 Georgia

Profile Details

NPI number 1285636407
LBN Legal business name Johnson, Rebecca A.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285636407 NPPES
Other 010217822 VA PREMIER PROVIDER NUMBE
Other 203639329004 VA PREMIER PROVIDER NUMBE
MEDICAID 010217822 VA PREMIER PROVIDER NUMBE

Popular Providers