Individual
JESSICA K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 808-2467
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 251-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6923
WI
Other
Enumeration date
04/11/2016
Last updated
07/11/2024
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