Individual
JESSICA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1035 WASHINGTON AVE APT 2M, BROOKLYN, NY 11225-2467
(518) 424-7987
Mailing address
119 E HUDSON ST # B, ELMIRA, NY 14904-1412
(518) 424-7987
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NY0000445012E
NY
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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