Individual
JONI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
638 MARKET ST, MEDFORD, OR 97504-6126
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
086007026RN
OR
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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