Individual
DR. JENNIE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1125 N MAIN ST, PROVIDENCE, RI 02904-5739
(401) 793-2928
(401) 793-7401
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD16218
RI
207RI0200X
Infectious Disease Physician
Primary
MD16218
RI
Other
Enumeration date
04/16/2012
Last updated
03/23/2026
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