Individual
MRS. JENNAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3522 N 3RD AVE, PHOENEIX, AZ 85013
(602) 266-8463
(602) 266-0122
Mailing address
3522 N 3RD AVE, PHOENEIX, AZ 85013
(602) 266-8463
(602) 266-0122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN056364
AZ
Other
Enumeration date
08/08/2006
Last updated
06/21/2010
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