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JESSICA NICOLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1500 S 48TH ST STE 400, LINCOLN, NE 68506-1278
(402) 481-8500
Mailing address
PO BOX 6607, LINCOLN, NE 68506-0607

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NE

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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