Individual provider · Type 1 NPI

Jennifer Nicole Johnson, PT

Military Health Care Provider · Goodfellow Afb, TX

NPI number 1437174877 Active

Practice location

271 Ft Richardson Ave
Goodfellow Afb, TX 76908

Mailing address

271 Ft Richardson
Goodfellow Afb, TX 76908

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000X3088 (NM)
Military Health Care Provider Primary 171000000X35821 (CA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1437174877

Jennifer Nicole Johnson, PT's National Provider Identifier is 1437174877, issued on Jul 13, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Goodfellow Afb, TX. The record was last updated on Nov 25, 2022.