Individual
JESSICA T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
24944 SE 43RD ST, SAMMAMISH, WA 98029-5824
(708) 654-0321
Mailing address
9303 176TH PL NE UNIT 2, REDMOND, WA 98052-0813
(708) 654-0321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
197256
TX
363LF0000X
Family Nurse Practitioner
Primary
AP61145807
WA
Other
Enumeration date
02/20/2007
Last updated
06/21/2025
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