Individual
JESSICA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1958 CHAPMAN AVE, SPRINGDALE, AR 72762-6100
(479) 361-3302
Mailing address
1958 CHAPMAN AVE, SPRINGDALE, AR 72762-6100
(479) 361-3302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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