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Individual

EMMA JEAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
1131 IONIA AVE NW, GRAND RAPIDS, MI 49503-1020
(616) 323-1122
(616) 259-7909
Mailing address
812 FAIRMOUNT ST SE, GRAND RAPIDS, MI 49506-1506
(636) 459-9066

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704365154
MI

Other

Enumeration date
10/12/2022
Last updated
10/12/2022
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