Individual
JALIL ABDUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
140 HIGH ST, SPRINGFIELD, MA 01105-1442
(413) 794-2511
(413) 794-8428
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
270185
MA
Other
Enumeration date
08/11/2010
Last updated
05/19/2016
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