Individual
MS. JENNA KELLY JOHNSON BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 N 7TH ST, TERRE HAUTE, IN 47809-1902
(217) 251-8012
Mailing address
1896 ILLINOIS HIGHWAY 1, DENNISON, IL 62423-2001
(217) 251-8012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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