Individual
MS. JESSICA ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
400 E 3RD ST, DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R-166607-4
MN
Other
Enumeration date
11/26/2012
Last updated
12/02/2015
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