Individual
JENNIFER LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1853 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9300
Mailing address
3949 MALBEC DR SW, WYOMING, MI 49418-7341
(616) 446-7944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704326234
MI
Other
Enumeration date
06/26/2017
Last updated
11/03/2023
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