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1023381969
JENNIFER JEAN JOHNSON
OAK GROVE, KY
NPI
1023381969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R538442)
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
Ms. JENNIFER JEAN JOHNSON FNP
1654 HUGH HUNTER RD #20
OAK GROVE, KY 42262
Phone number: 601-927-4791
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Mailing Address
Ms. JENNIFER JEAN JOHNSON FNP
1654 HUGH HUNTER RD APT 20
OAK GROVE, KY 42262-9159
Phone number: 601-927-4791
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