Individual
JEAN M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 781-4828
(270) 781-4828
Mailing address
1945 SCOTTSVILLE RD B2 PMB 397, BOWLING GREEN, KY 42104
(270) 781-4828
(270) 781-4828
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
TSA008
KY
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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