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Individual
JERRICK JOHNSON
Active
Individual
JERRICK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
11221112610
AR
163WR0400X
Rehabilitation Registered Nurse
Primary
218478
AR
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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