Individual
MRS. JEANNE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
600 N ELM ST, HIGH POINT, NC 27262-4332
(336) 878-6902
(336) 878-6015
Mailing address
600 N ELM ST, HIGH POINT, NC 27262-4332
(336) 878-6902
(336) 878-6015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001807
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2991799
MEDICARE PART B PERFORMING PROVIDER
TN
Enumeration date
05/07/2008
Last updated
05/07/2008
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