Individual
JESSICA RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 832-4836
(785) 832-4887
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0527
(585) 922-0444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019023994
MO
Other
Enumeration date
07/01/2019
Last updated
03/07/2024
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