Individual
JEWEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 425-3900
Mailing address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 425-3900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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