Individual
JEANNETTE KEYSJOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 16TH AVE S APT 100, MINNEAPOLIS, MN 55404-3045
(612) 552-9973
Mailing address
2323 16TH AVE S APT 100, MINNEAPOLIS, MN 55404-3045
(612) 552-9973
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MN
374U00000X
Home Health Aide
—
MN
Other
Enumeration date
02/14/2021
Last updated
03/22/2021
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