Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 ANTLER DR STE 110, CASPER, WY 82601-1747
(307) 466-8008
Mailing address
701 ANTLER DR STE 110, CASPER, WY 82601-1747
(307) 466-8008
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WY
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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