Individual
DR. JARED DENNIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, ACNP-BC
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-5620
Mailing address
2620 E BARNETT RD STE H, MEDFORD, OR 97504-8383
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
6259325-4405
UT
363LA2100X
Acute Care Nurse Practitioner
6259325-8900
UT
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
201802343NP-PP
OR
Other
Enumeration date
01/12/2010
Last updated
03/30/2018
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