Individual
DR. JENNIFER C ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8990 NAVARRE PARKWAY, PEDIATRIC DEPARTMENT, NAVARRE, FL 32566-2216
(850) 396-0108
(850) 939-4933
Mailing address
1005 MAR WALT DRIVE, ADMINISTRATION, FORT WALTON BEACH, FL 32547-6707
(850) 863-8100
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME144527
FL
2080A0000X
Pediatric Adolescent Medicine Physician
00004512
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009965240
—
AL
Enumeration date
02/24/2006
Last updated
03/27/2020
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