Individual
JESSICA DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
234 WEST PORTER ST, MORGANTOWN, KY 42261
(270) 526-9652
Mailing address
234 WEST PORTER ST, MORGANTOWN, KY 42261
(270) 526-9652
(270) 526-9655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007592
KY
Other
Enumeration date
08/06/2012
Last updated
08/03/2015
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