Individual
DR. JENNIFER EDWARDS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1200 E MICHIGAN AVE STE 245A, LANSING, MI 48912-1852
(517) 364-5710
(517) 264-5717
Mailing address
13820 COURTLAND ST, OAK PARK, MI 48237-2723
(517) 420-3045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019898
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
03/17/2018
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