Individual
MRS. JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4355 HIGH BRIDGE RD, QUINCY, FL 32351-6128
(850) 322-5980
(850) 364-4836
Mailing address
4355 HIGH BRIDGE RD, QUINCY, FL 32351-6128
(850) 322-5980
(850) 364-4836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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