Individual
DR. JENNIFER R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 427-7218
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 427-7218
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
6073854-4405
UT
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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