Individual
JESSICA ARCHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 COCHISE TRL, HAYDEN, AL 35079-8305
(205) 266-8798
Mailing address
158 COCHISE TRL, HAYDEN, AL 35079-8305
(205) 266-8798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-156708
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-156708
REGISTERED NURSE
AL
Enumeration date
02/24/2021
Last updated
02/24/2021
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