Individual
JENNIFER COBB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN.CS
Contact information
Practice address
360 KINGSTOWN RD, NARRAGANSETT, RI 02882-3239
(401) 789-9911
(401) 789-3106
Mailing address
19 OSPRAY ROAD, NARRAGANSETT, RI 02882-3408
(401) 782-1026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP37087
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24157-7
BLUE CROSS/BLUE SHIELD
RI
01
—
407372
BLUECHIP
RI
01
—
NPP37087
NURSE PRACTITIONER LICENS
RI
Enumeration date
10/27/2006
Last updated
03/07/2023
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