Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 WENTWORTH AVE, BEATRICE, NE 68310-1348
(402) 806-7467
Mailing address
502 W J ST, WYMORE, NE 68466-1026
(402) 853-8044
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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