Jenifer E. Johnson
Radiologic Technologist in Rockford, IL. Individual provider (NPI-1).
NPI number1710237953
StatusActive
Last updated in NPPESSep 18, 2012
Details
- NPI
- 1710237953
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jenifer E. Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2012
- Last updated
- Sep 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | 500502125 | IL | Yes |
| 247200000X | Technician, Other | – | – |
Other names
- Jenifer E. Erickson (Former Name)
Practice location
6905 E State StRockford, IL 61108-2692
Phone 815-397-4142
Mailing address
6905 E State StRockford, IL 61108-2692
Phone 815-397-4142
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