Individual
JONATHAN FRANKLIN JOHNSON JR.
Active
Individual
JONATHAN FRANKLIN JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
119709
CT
363LF0000X
Family Nurse Practitioner
1-167832
AL
363LF0000X
Family Nurse Practitioner
Primary
8521
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
01/24/2018
Last updated
10/15/2019
Update your record
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