Individual
JENNIFER WHITE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 KELLEY HIGHWAY, FORT SMITH, AR 72904-5000
(479) 785-5700
(479) 785-5708
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 635-5300
(479) 635-2010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E2929
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143530001
—
AR
Enumeration date
01/16/2007
Last updated
09/22/2010
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