Individual
JESSICA NICHOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
309 SE DAYTON AVE, MCMINNVILLE, OR 97128-6217
(971) 241-2085
Mailing address
309 SE DAYTON AVE, MCMINNVILLE, OR 97128-6217
(971) 241-2085
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10242979
OR
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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