Individual
MS. JENNIFER ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
295 7TH AVE, SAINT JAMES, NY 11780-2436
(718) 791-8621
Mailing address
2246 79TH ST APT 3A, EAST ELMHURST, NY 11370-2121
(718) 791-8621
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
466090
NY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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