Individual
MS. JENNIFER JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1654 HUGH HUNTER RD #20, OAK GROVE, KY 42262
(601) 927-4791
Mailing address
1654 HUGH HUNTER RD APT 20, OAK GROVE, KY 42262-9159
(601) 927-4791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R538442
MS
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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