Individual
JESSICA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-0318
(802) 847-6846
Mailing address
WRAMC BLDG 2 RM 2G01, 6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
042.0014416
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2011
Last updated
06/20/2019
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