Johnson, Tina Diane
Johnson, Tina Diane is an sole proprietor health care provider with primary practice located at 1029 Keyser Ave Ste A , Natchitoches LA 71457-6215. 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, Tina Diane can be contacted via phone (318) 352-7768.Contact Information
Primary practice address
1029 Keyser Ave Ste A
Natchitoches LA 71457-6215
Phone: (318) 352-7768
Fax: (318) 357-3661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP06853 | Louisiana |
Profile Details
| NPI number | 1619239373 |
|---|---|
| LBN Legal business name | Johnson, Tina Diane |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Jun 8th, 2012 - about 14 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 | 1619239373 | NPPES |
| Louisiana | Other | AP06853 | APRN LICENSE |
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