JACQUELINE JOHNSON

SELMA, AL
NPI1578118048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AL  AG06190206)
Enumeration Date2019-08-01
Last Update Date2020-09-14
Business Address
JACQUELINE JOHNSON
101 PARK PL
SELMA, AL 36701-6764
Phone number: 334-874-7428
Mailing Address
JACQUELINE JOHNSON
PO BOX 11087
MONTGOMERY, AL 36111-0087
Phone number: 334-481-1599
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