Individual
JILL KATHLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 585-3022
Mailing address
1780 BEECHMONT ST, KEEGO HARBOR, MI 48320-1122
(734) 674-9836
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704315590
MI
Other
Enumeration date
02/21/2023
Last updated
06/05/2025
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