Individual
JENNIFER L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM, APRN-CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2530
(614) 403-1298
Mailing address
2600 UNIVERSITY BLVD, UNIVERSITY HEIGHTS, OH 44118-4730
(614) 403-1298
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0026884
OH
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0026884
OH
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.0019588
OH
Other
Enumeration date
08/17/2020
Last updated
10/09/2023
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