Individual
JENNIFER LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
6950 METEOR CT, ANCHORAGE, AK 99504-4556
(907) 717-2317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214091
AK
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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