Individual
JEANANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC, FNP , PMHNP
Contact information
Practice address
1358 S RIVER RIDGE LN, SPANISH FORK, UT 84660-4610
(801) 669-3425
Mailing address
1358 S RIVER RIDGE LN, SPANISH FORK, UT 84660-4610
(180) 166-9342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6670082-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6670082-4405
UT
Other
Enumeration date
11/02/2008
Last updated
11/13/2024
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