Individual
JADA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1286 PROSPECT PL, CINCINNATI, OH 45231-5525
(513) 371-3893
Mailing address
1286 PROSPECT PL, CINCINNATI, OH 45231-5525
(513) 371-3893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.164998.MEDS-IV
OH
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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