Individual
JILL MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8333 FELCH ST, SUITE 300, ZEELAND, MI 49464-2608
(616) 994-6677
(616) 494-5901
Mailing address
100 MICHIGAN ST NE, MC- 845, GRAND RAPIDS, MI 49503-2560
(616) 267-7400
(616) 267-7444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
08/23/2016
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