Individual
JILL CHRISTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 OAK HARBOR BLVD, SLIDELL, LA 70458-8825
(985) 707-2790
Mailing address
39626 FLY CREEK RD, PONCHATOULA, LA 70454-6820
(985) 960-6917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN108997
LA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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