Individual
JENNIFER JORAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 HAZELWOOD ST, MAPLEWOOD, MN 55109-1241
(651) 232-6700
Mailing address
6269 DALLAS CT N, MAPLE GROVE, MN 55311-4242
(507) 254-1298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11754
MN
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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