Individual
JAICEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 BIESTERFIELD RD STE G01, ELK GROVE VILLAGE, IL 60007-3372
(847) 981-3680
Mailing address
800 BIESTERFIELD RD STE G01, ELK GROVE VILLAGE, IL 60007-3372
(847) 981-3680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017630
IL
Other
Enumeration date
06/22/2018
Last updated
01/02/2024
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