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Individual

JENNIFER L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
905C S FRONTAGE RD, MERIDIAN, MS 39301-6113
(601) 486-4210
(601) 486-4219
Mailing address
PO BOX 5166, MERIDIAN, MS 39302-5166
(601) 486-4210
(601) 486-4219

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001186
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01854282
NY
Enumeration date
11/29/2006
Last updated
10/31/2011
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