Individual
MRS. JANE MARGARET JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
630 EAST RIVER STREET, EMH REGIONAL MEDICAL CENTER, ELYRIA, OH 44035
(440) 326-5471
(440) 329-7711
Mailing address
13810 BUTLER ROAD, WAKEMAN, OH 44889-9026
(440) 965-5601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN096227
OH
363L00000X
Nurse Practitioner
Primary
NP00166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2347240
—
OH
Enumeration date
09/21/2006
Last updated
09/11/2025
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