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Contact Information

JERRICK JOHNSON, RN
100 COMMERCIAL PARK CT APT 145
MAUMELLE, AR72113-6992
 Phone: 501-416-8867
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

163WR0400X
 

Personal Emergency Response Attendant

146D00000X
Indicates primary specialty

NPI Profile & details for JERRICK JOHNSON · (Male)

NPI # 1578301461
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/16/2024
Last updated 07/16/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 11221112610
  • AR License # 218478
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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