Individual
JILL M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
PO BOX 1150, BARBOURVILLE, KY 40906-5150
(606) 546-9287
(606) 546-2860
Mailing address
PO BOX 1150, BARBOURVILLE, KY 40906-5150
(606) 546-9287
(606) 546-2860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006871
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100167610
—
KY
Enumeration date
05/02/2011
Last updated
09/20/2024
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