Individual
JOLENE REBECCA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N FEDERAL AVE, MASON CITY, IA 50401-3209
(319) 444-0184
Mailing address
410 S VERMONT AVE, MASON CITY, IA 50401-4248
(319) 444-0184
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
132734
IA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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