Johnson, Tracy Harris

Johnson, Tracy Harris is an individual health care provider with primary practice located at 1930 Bishop Ln Ste. 1600, Louisville KY 40218-1921. 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, Tracy Harris can be contacted via phone (502) 272-5044.

Contact Information

Primary practice address
1930 Bishop Ln Ste. 1600 Louisville KY 40218-1921
Phone: (502) 272-5044
Fax: (502) 272-5121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5222P Kentucky

Profile Details

NPI number 1750581146
LBN Legal business name Johnson, Tracy Harris
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Oct 21st, 2011 - about 15 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 1750581146 NPPES
Other 613724 ANTHEM/NHC
Other 000023036J ANTHEM/NHC
MEDICAID 7100018550 ANTHEM/NHC
Other P00411780 ANTHEM/NHC
Other 50023747 ANTHEM/NHC

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