Individual
DR. JENNIFER S. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
819 WATER ST STE 300, KERRVILLE, TX 78028-5330
(830) 258-5430
(830) 792-5771
Mailing address
819 WATER ST STE 300, KERRVILLE, TX 78028-5330
(830) 258-5430
(830) 792-5771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K8234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454589-01
—
TX
01
—
260045292
RR/MEDICARE
TX
01
—
87197N
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
05/28/2009
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