Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 WYNDHURST AVE STE 307D, BALTIMORE, MD 21210-2419
(443) 695-1107
Mailing address
9724 MORNINGVIEW CIR, PERRY HALL, MD 21128-9024
(443) 695-0409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R236457
MD
363LW0102X
Women's Health Nurse Practitioner
R236457
MD
Other
Enumeration date
02/15/2023
Last updated
09/11/2024
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