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Contact Information

REBECCA G JOHNSON, CNM
1532 LONE OAK RD STE 245
PADUCAH, KY42003-7941
 Phone: 270-538-5700
 Fax: 270-538-5701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA G JOHNSON · (Female)

NPI # 1285957308
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 03/03/2010
Last updated 09/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3006383
  • KY License # 6383M
  • TN License # APN16127
  • TN Medicaid 1525514
  • KY Other 7100203570 KY MEDICAID
  • KY Other K009831 KY MEDICARE PTAN
  • TN Other 3380640 GROP MEDICARE
  • TN Other 3380640 GROUP MEDICAID
Hospital affiliation(s)
  • LOURDES HOSPITAL - (Acute Care)
    1530 LONE OAK ROAD
    PADUCAH, KY 42003
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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