Individual provider · Type 1 NPI
Jesse F. Johnson
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Capitol Heights, MD
NPI number
1104637958
Active
Practice location
4606 Addison Rd
Capitol Heights, MD 20743-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | R248465 (MD) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
3 other providers at this address
About NPI 1104637958
Jesse F. Johnson's National Provider Identifier is 1104637958, issued on Jan 20, 2025. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Capitol Heights, MD. The record was last updated on Jan 20, 2025.