Individual
JESSICA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
GRINNELL REGIONAL MEDICAL CENTER, 210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2435
(641) 236-2044
Mailing address
309 NW ABILENE RD, ANKENY, IA 50023-2112
(515) 868-8344
(641) 236-2044
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001779
IA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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