Individual
JESSICA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 ELIJAH LN, CRANE, MO 65633-9198
(417) 840-4563
Mailing address
111 ELIJAH LN, CRANE, MO 65633-9198
(417) 840-4563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2019027467
MO
Other
Enumeration date
12/26/2022
Last updated
01/05/2023
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