Individual
JESSICA LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
(207) 662-6434
Mailing address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
(207) 662-6434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP161162
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP161162
ME
Other
Enumeration date
09/19/2016
Last updated
11/03/2025
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