| NPI | 1013326867 |
|---|---|
| Former Name | JENNIFER LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 6646) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430842-1) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-09-10 |