Individual
JESSICA E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
(304) 720-0205
(304) 720-0262
Mailing address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
(304) 720-0205
(304) 720-0262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103305
WV
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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