Individual
JENNIFER L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNOR, RNFA
Contact information
Practice address
900 N 1ST ST, SPRINGFIELD, IL 62702-3749
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041355014
IL
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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