Individual
JESSICA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9339B SPRING ST, EAGLE RIVER, AK 99577-9501
(907) 306-5255
(907) 622-5255
Mailing address
9339B SPRING ST, EAGLE RIVER, AK 99577-9501
(907) 306-5255
(907) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1025249
AK
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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