Individual
DR. JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
(412) 563-5777
(412) 563-0122
Mailing address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
(412) 563-5777
(412) 563-0122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD432922
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023387680002
—
PA
Enumeration date
08/14/2007
Last updated
04/01/2011
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