Individual
JILL M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MAIN ST, SUMMERSVILLE, WV 26651-1343
(304) 872-1663
Mailing address
32 PIONEER LN, SUMMERSVILLE, WV 26651-1889
(681) 224-0660
(304) 718-5133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMHNP71327WV
WV
Other
Enumeration date
09/26/2017
Last updated
12/19/2025
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