Individual
JEANA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1117 TIETON DRIVE, YAKIMA, WA 98902
(866) 904-7721
(509) 925-6732
Mailing address
PO BOX 119, SUNNYSIDE, WA 98944-0119
(509) 837-3933
(509) 837-3885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006756
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9643925
—
WA
Enumeration date
02/14/2007
Last updated
03/31/2016
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