Individual
JILL B JOHNSON
Active
Individual
JILL B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35138
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
35138
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227095100
—
MN
05
—
31782200
—
WI
Enumeration date
10/12/2005
Last updated
08/20/2020
Update your record
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