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Organization
JENNIFER G. JOHNSON
Active
Organization
JENNIFER G. JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GAIL JOHNSON PMHNP, B-C, CARN (PSYCHIATRIC NURSE PRACTITIONER)
(410) 776-3652
Entity
Organization
Contact information
Practice address
7801 YORK RD STE 300, TOWSON, MD 21204-7449
(410) 337-0720
(410) 337-0714
Mailing address
7801 YORK RD STE 300, TOWSON, MD 21204-7449
(410) 337-0720
(410) 337-0714
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R189440
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184027484
—
MD
Enumeration date
04/14/2015
Last updated
04/16/2015
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