Individual
MISS JESSICA LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 737-7733
Mailing address
2815 S SEACREST BLVD STE, BOYNTON BEACH, FL 33435-7969
(561) 479-6344
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27540
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
06/24/2025
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