Individual
JENNIFER J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5730
Mailing address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5730
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1108666
WI
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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