Individual
MRS. JENIFER E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6905 E STATE ST, ROCKFORD, IL 61108-2692
(815) 397-4142
Mailing address
6905 E STATE ST, ROCKFORD, IL 61108-2692
(815) 397-4142
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
500502125
IL
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500502125
IEMA DIVISION OF NUCLEAR SAFETY
—
Enumeration date
09/14/2012
Last updated
09/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us