Individual
JEANNE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5360 N ACADEMY BLVD STE 290, COLORADO SPRINGS, CO 80918-4038
(719) 434-2061
(719) 434-2275
Mailing address
3420 MOSSWOOD LN, COLORADO SPRINGS, CO 80910-1648
(719) 325-6671
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0046062
CO
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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