Individual
JENNIFER JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
16 ORRISON ST, WORCESTER, MA 01609-1028
(774) 239-8573
Mailing address
16 ORRISON ST, WORCESTER, MA 01609-1028
(774) 239-8573
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LDN6889
MA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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