Individual
JENNIFER R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20050 HAVARD AVE, WARRENVILLE HEIGHTS, OH 44122-6805
(216) 491-6438
(216) 491-7088
Mailing address
2570 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-9607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
024582
OH
363LF0000X
Family Nurse Practitioner
024582
OH
Other
Enumeration date
08/28/2019
Last updated
02/28/2024
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