Individual
JENNA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 644-7329
Mailing address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 644-7329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
73477
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
112577
NE
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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