Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3301 N BALLARD RD, SUITE B, APPLETON, WI 54911-8928
(920) 733-4443
(920) 733-4796
Mailing address
1130 RED OAK LN, APPLETON, WI 54915-1107
(920) 733-4443
(920) 733-4796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316224
WI
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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