Individual
JILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5530 S 1100 E-57, HUNTERTOWN, IN 46748-9504
(260) 403-7160
Mailing address
5530 S 1100 E-57, HUNTERTOWN, IN 46748-9504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28167518A
IN
163W00000X
Registered Nurse
Primary
RN.364145
OH
Other
Enumeration date
08/01/2011
Last updated
08/10/2015
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