| NPI | 1316557192 |
|---|---|
| Former Name | JESSICA ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 284119) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-06-27 |