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Contact Information

CORETTA Y JOHNSON, REGISTERED NURSE
6226 LA PAS TRL
INDIANAPOLIS, IN46268-2509
 Phone: 317-504-4924
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for CORETTA Y JOHNSON · (Female)

NPI # 1679355796
Status Active
Credentials REGISTERED NURSE
Entity Individual
Enumeration date 10/16/2023
Last updated 04/27/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 28195918A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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