Individual
JESSICA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 983-8300
Mailing address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009677A
IN
Other
Enumeration date
01/04/2020
Last updated
09/16/2025
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