Individual
JESSICA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
220 N 89TH ST STE 202, OMAHA, NE 68114-4072
(402) 502-5750
Mailing address
3520 W ST, LINCOLN, NE 68503-2738
(816) 308-9050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26891
NE
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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