Individual
JODI L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1700 BENT CREEK BLVD STE 210, MECHANICSBURG, PA 17050-1870
(717) 791-2640
(717) 791-2646
Mailing address
1700 BENT CREEK BLVD STE 210, MECHANICSBURG, PA 17050-1870
(717) 791-2640
(717) 791-2646
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50001116
CAPITAL BLUE CROSS IND
PA
Enumeration date
05/04/2006
Last updated
12/11/2024
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