Individual
DR. JENNIFER LYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
90 MAINE AVE, GARDINER, ME 04345-2131
(207) 582-2222
(207) 588-0891
Mailing address
90 MAINE AVE, GARDINER, ME 04345-2131
(207) 582-2222
(207) 588-0891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1261
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002167772
UNITED HEALTH CARE
ME
Enumeration date
04/03/2007
Last updated
09/27/2011
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