Individual
JEANNIE ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4242 LORAIN AVE, CLEVELAND, OH 44113-3715
(216) 420-8383
(216) 664-6159
Mailing address
14701 ONAWAY RD, SHAKER HEIGHTS, OH 44120-2846
(216) 965-2225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.020550
OH
Other
Enumeration date
12/12/2017
Last updated
03/17/2018
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