Individual
JALEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 JEFFERSON AVE SE STE 1000, GRAND RAPIDS, MI 49503-4502
(616) 940-0040
Mailing address
200 JEFFERSON AVE SE STE 1000, GRAND RAPIDS, MI 49503-4502
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
06/10/2025
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