Individual
JILL R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
3509 HAZEL ST, ERIE, PA 16508-2634
(814) 572-8956
Mailing address
3509 HAZEL ST, ERIE, PA 16508-2634
(814) 572-8956
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
03/09/2017
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