Individual
MS. JESSICA LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
970 E WASHINGTON ST STE 4B, MEDINA, OH 44256-2181
(330) 721-5700
(330) 721-5337
Mailing address
970 E WASHINGTON ST STE 4B, MEDINA, OH 44256-2181
(330) 721-5700
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
LE-00026293
OH
Other
Enumeration date
12/16/2018
Last updated
08/22/2023
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