Individual provider · Type 1 NPI
Jamilah Johnson
Primary Care Nurse Practitioner · Willowbrook, IL
NPI number
1154796605
Active
Practice location
40 75th St
Willowbrook, IL 60527-2325
Other practice locations
- 6430 S Stony Island Ave, Apt 912, Chicago, IL 60637-3876 · (773) 960-7539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.013642 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1154796605
Jamilah Johnson's National Provider Identifier is 1154796605, issued on Dec 9, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Willowbrook, IL. The record was last updated on Sep 9, 2021.