Individual
DR. JESSICA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 HALE PKWY, WOLF BUILDING, STE. 400, DENVER, CO 80220-4020
(303) 321-2166
(303) 861-7211
Mailing address
4600 HALE PKWY, WOLF BUILDING, STE. 400, DENVER, CO 80220-4020
(303) 321-2166
(303) 861-7211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31913
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160033547
RAILROAD MEDICARE
CO
Enumeration date
06/06/2006
Last updated
01/20/2010
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