Individual
JESSICA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 N 14TH ST, HARRISBURG, PA 17103-1305
(717) 317-8713
Mailing address
228 N 14TH ST, HARRISBURG, PA 17103-1305
(717) 317-8713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660411
PA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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