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Individual

JESSICA LEE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, PMHNP-BC

Contact information

Practice address
115 E RAILROAD AVE STE 203, PORT ANGELES, WA 98362-2925
(425) 400-8602
(425) 433-9177
Mailing address
132 DEER PARK RD # 21, PORT ANGELES, WA 98362-7185
(425) 400-8602
(425) 433-9177

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1664699
CO
163W00000X
Registered Nurse
RN60964516
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP.61273054
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0998411-NP
CO

Other

Enumeration date
06/30/2020
Last updated
02/26/2026
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