Individual
JENNIFER LYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAHCC
Contact information
Practice address
6303 WOODTHRUSH DR, FORT WAYNE, IN 46835-1322
(260) 750-0506
Mailing address
6303 WOODTHRUSH DR, FORT WAYNE, IN 46835-1322
(260) 750-0506
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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