Individual
JENNIFER ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 9TH AVE S STE E, FARGO, ND 58103
(017) 226-5603
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 226-5603
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ND
172A00000X
Driver
—
ND
Other
Enumeration date
10/05/2020
Last updated
06/07/2024
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