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Individual

JENNIFER A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
168 KINSLEY ST STE 20, NASHUA, NH 03060-3634
(603) 883-3365
(603) 883-5758
Mailing address
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
063694-23
NH
367A00000X
Advanced Practice Midwife
170449
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3072170
NH
Enumeration date
07/24/2007
Last updated
08/24/2020
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