# DR. JARED DENNIS JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952631103
- **Gender:** Man
- **Credential:** DNP, APRN, ACNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | 6259325-4405 | UT | — |
| 363LA2100X | Acute Care Nurse Practitioner | 6259325-8900 | UT | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 201802343NP-PP | OR | Yes |

## Other

- **Enumeration date:** 01/12/2010
- **Last updated:** 03/30/2018