Individual
JENNIFER A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4189 WESTLAWN S, STUDENT HEALTH & WELLNESS, IOWA CITY, IA 52242-1100
(319) 335-8370
(319) 335-7247
Mailing address
4189 WESTLAWN S, STUDENT HEALTH & WELLNESS, IOWA CITY, IA 52242-1100
(319) 335-8370
(319) 335-7247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41212
IA
207Q00000X
Family Medicine Physician
4301073909
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803901061
BCBS
—
05
—
4514899
—
MI
Enumeration date
03/17/2006
Last updated
04/21/2014
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