Jennifer R Johnson
Home Health Aide in Ferguson, MO. Individual provider (NPI-1).
NPI number1194457218
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1194457218
- Entity type
- Individual (NPI-1)
- Name
- Jennifer R Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2022
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
111 Church St Ste 105Ferguson, MO 63135-2430
Phone 314-176-3600
Mailing address
111 Church St Ste 105Ferguson, MO 63135-2430
Phone 314-716-3600
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