Individual
JENELLE KRISTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34300 S TALKEETNA SPUR ROAD, TALKEETNA, AK 99676-9701
(907) 733-2273
Mailing address
HC 89 BOX 8190, TALKEETNA, AK 99676-9701
(907) 733-2273
(907) 733-1735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
148759
AK
Other
Enumeration date
09/03/2018
Last updated
01/29/2020
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