Individual provider · Type 1 NPI
Jennifer Diane Johnson, FNP
Family Nurse Practitioner · Waukesha, WI
NPI number
1043615560
Active
Practice location
725 American Avenue
Waukesha, WI 53188
Fax (262) 928-0648
Mailing address
27431 N. Lake Drive
Waterford, WI 53185
Other practice locations
- 725 American Ave, Waukesha, WI 53188-5031 · (262) 928-8800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 6088-33 (WI) |
| Registered Nurse | 163W00000X | 171464-30 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 6088-33 (WI) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1043615560
Jennifer Diane Johnson, FNP's National Provider Identifier is 1043615560, issued on Oct 27, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waukesha, WI. The record was last updated on Dec 12, 2024.