Sellers, Lucinda Johnson
Sellers, Lucinda Johnson is an individual health care provider with primary practice located at 5405 Memorial Dr Ste D , Stone Mountain GA 30083-3236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Sellers, Lucinda Johnson can be contacted via phone (404) 296-3800.Contact Information
Primary practice address
5405 Memorial Dr Ste D
Stone Mountain GA 30083-3236
Phone: (404) 296-3800
Fax: (404) 297-8753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN204724 | Georgia |
Profile Details
| NPI number | 1427350719 |
|---|---|
| LBN Legal business name | Sellers, Lucinda Johnson |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2010 |
| Last updated | Mar 6th, 2019 - about 7 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 | 1427350719 | NPPES |
| Georgia | MEDICAID | 003107139A |
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