Individual provider · Type 1 NPI
Jennifer Marie Johnson, FNP-C
Family Nurse Practitioner · Gary, WV
NPI number
1205683869
Active
Practice location
PO Box 507
Gary, WV 24836-0507
Mailing address
1675 Stewart St
Welch, WV 24801-2142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 97296 (WV) |
| Family Nurse Practitioner Primary | 363LF0000X | 119260 (WV) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Gary
About NPI 1205683869
Jennifer Marie Johnson, FNP-C's National Provider Identifier is 1205683869, issued on May 2, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gary, WV. The record was last updated on Apr 23, 2025.