Individual provider · Type 1 NPI
Jennifer Lynn Johnson, PNP
Pediatric Nurse Practitioner · Rochester, NY
NPI number
1104564798
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave Box 635
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 383256 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383256-01 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104564798
Jennifer Lynn Johnson, PNP's National Provider Identifier is 1104564798, issued on May 24, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 22, 2023.