Individual
JENNIFER RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 INDUSTRIAL ST, 8, HUDSON, WI 54016-9127
(715) 497-3498
Mailing address
1800 INDUSTRIAL ST, 8, HUDSON, WI 54016-9127
(715) 497-3498
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191011-30
WI
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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