Individual
JENNIFER H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8514
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8514
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
32667-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669404810
—
WI
05
—
31774800
—
WI
Enumeration date
07/07/2006
Last updated
07/15/2022
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