Individual
JENNA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3201 DEL PRADO BLVD S STE 120, CAPE CORAL, FL 33904-7206
(239) 542-5335
Mailing address
3201 DEL PRADO BLVD S STE 120, CAPE CORAL, FL 33904-7206
(239) 542-5335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28113
FL
Other
Enumeration date
06/13/2023
Last updated
05/06/2025
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