Individual
JILLANE MULVEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10601 QUIVIRA RD STE 200, OVERLAND PARK, KS 66215-2320
(913) 541-3340
Mailing address
10601 QUIVIRA RD STE 200, OVERLAND PARK, KS 66215-2320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4149-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578074738
—
WI
Enumeration date
10/16/2017
Last updated
02/10/2022
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