Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
(469) 505-1634
(469) 436-3976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
66680743102
UT
Other
Enumeration date
10/18/2017
Last updated
09/14/2023
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