| NPI | 1790445971 |
|---|---|
| Former Name | JESSICA LEIGHANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202208440) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: VA 0202208440) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202208440) | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |