Individual provider · Type 1 NPI
Jessica Tynea Johnson
General Practice Registered Nurse · Springfield, MA
NPI number
1275203549
Active
Practice location
115 Dunmoreland St
Springfield, MA 01109-3261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN2388726 (MA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1275203549
Jessica Tynea Johnson's National Provider Identifier is 1275203549, issued on Sep 17, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Springfield, MA. The record was last updated on Jan 31, 2025.