Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Mailing address
5024 E MILLBROOK RD, SHEPHERD, MI 48883-9326
(989) 621-4167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704323241
MI
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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