Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2720 STONE PARK BLVD # 335, SIOUX CITY, IA 51104-3734
(712) 220-6634
Mailing address
2800 PIERCE ST STE 414, SIOUX CITY, IA 51104-3755
(712) 540-6987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113228
NE
Other
Enumeration date
08/13/2020
Last updated
04/10/2023
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