Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
195 HOSPITAL DR, SUITE B, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6060
(870) 257-7664
Mailing address
195 HOSPITAL DR, SUITE B, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6060
(870) 257-7664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015007296
MO
363LF0000X
Family Nurse Practitioner
Primary
A004404
AR
Other
Enumeration date
04/06/2015
Last updated
05/28/2015
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