| NPI | 1831719384 |
|---|---|
| Former Name | JILLIAN R. B. JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024044282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23838) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-03-31 |