Individual
JASON RICHARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
633 S ERIE ST, THREE RIVERS, MI 49093-2073
(269) 273-6670
Mailing address
123 E CRAWFORD ST, FINDLAY, OH 45840-4802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704301030
MI
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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