Individual
JENNIFER COLLEEN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 RUSSELL ST, NASHVILLE, TN 37206-2050
(763) 229-7498
Mailing address
1812 RUSSELL ST, NASHVILLE, TN 37206-2050
(763) 229-7498
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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