Individual
JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 BOREN AVE, SUITE 1650, SEATTLE, WA 98104-3595
(206) 464-0873
(206) 467-7351
Mailing address
901 BOREN AVE, SUITE 1650, SEATTLE, WA 98104-3595
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
RN00145187
WA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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