Individual
DR. JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Mailing address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15987
RI
207Q00000X
Family Medicine Physician
MD164793
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679831937
—
RI
Enumeration date
04/24/2012
Last updated
06/23/2025
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