Individual
JENNIFER NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3565 KINSROW AVE APT 205, EUGENE, OR 97401-7039
(541) 515-2008
Mailing address
3565 KINSROW AVE APT 205, EUGENE, OR 97401-7039
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OR
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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