Johnson, Stephen Wesley
Johnson, Stephen Wesley is an sole proprietor health care provider with primary practice located at 2605 Thomas Dr Ste 120 , Panama City Beach FL 32408-6254. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johnson, Stephen Wesley can be contacted via phone (850) 215-7095.Contact Information
Primary practice address
2605 Thomas Dr Ste 120
Panama City Beach FL 32408-6254
Phone: (850) 215-7095
Fax: (850) 215-7096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9307095 | Florida |
Profile Details
| NPI number | 1679924716 |
|---|---|
| LBN Legal business name | Johnson, Stephen Wesley |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Nov 17th, 2023 - about 3 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 | 1679924716 | NPPES |
| Florida | Other | APRN9307095 | FLORIDA APRN LICENSE |
| Florida | MEDICAID | 118056200 | FLORIDA APRN LICENSE |
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