Individual
MS. JILL DELORES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 SCENEGA, GLENNALLEN, AK 99588
(907) 822-3384
(907) 822-5484
Mailing address
PO BOX 466, GLENNALLEN, AK 99588
(907) 822-4552
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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