Individual
JAMIE JENSEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
512 VILLAGE RD STE 102, SHALLOTTE, NC 28470-3409
(910) 721-3157
Mailing address
8545 WHITEHILL LOOP APT 308, WILMINGTON, NC 28411-8537
(864) 710-0199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003384
NC
Other
Enumeration date
08/27/2024
Last updated
10/23/2024
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