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Individual
JERRY JOHN
Active
Individual
JERRY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200501438
NC
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
0101274896
VA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD61593680
WA
207RC0000X
Cardiovascular Disease Physician
5210479-1205
UT
Other
Enumeration date
11/07/2006
Last updated
12/24/2025
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