Individual
JANNISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7402 N 73RD CIR, OMAHA, NE 68122-1796
(531) 272-1201
Mailing address
7402 N 73RD CIR, OMAHA, NE 68122-1796
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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