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Individual

JILL D. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.N., A.P.R.N.

Contact information

Practice address
5800 MONROE ST, BLDG G, SYLVANIA, OH 43560-2263
(419) 885-2525
(419) 885-3253
Mailing address
5800 MONROE ST, BLDG G, SYLVANIA, OH 43560-2263
(419) 885-2525
(419) 885-3253

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN139779
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000306931
ANTHEM
05
2435645
OH
01
341966854
MICHIGAN MEDICAID
MI
01
341966854
UNITED HEALTH CARE
Enumeration date
05/23/2005
Last updated
06/16/2008
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