Individual
JILL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 PERRYMAN LN W, JACKSONVILLE, FL 32221-1543
(904) 229-7476
Mailing address
718 PERRYMAN LN W, JACKSONVILLE, FL 32221-1543
(904) 229-7476
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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