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MS. JENNIFER JEAN JOHNSON FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1023381969

Individual Registrant:
MS. JENNIFER JEAN JOHNSON FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1654 HUGH HUNTER RD #20  OAK GROVE, KY 42262 US
Tel: 601-927-4791  Fax: --

Contact information for business:
1654 HUGH HUNTER RD APT 20  OAK GROVE, KY 42262-9159 US
Tel: 601-927-4791  Fax: --

Registration Information:
NPI: 1023381969
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MSR538442

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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