Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 735-2737
(870) 551-3724
Mailing address
PO BOX 2192, FORREST CITY, AR 72336-2192
(870) 082-8362
(870) 208-8384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223698
AR
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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