Individual provider · Type 1 NPI

Jedediah Edward Jensen Johnson, PhD

Student in an Organized Health Care Education/Training Program · Rochester, MN

NPI number 1750646196 Active

Practice location

200 1st St SW
Rochester, MN 55905-0001

Call (507) 284-2511 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750646196

Jedediah Edward Jensen Johnson, PhD's National Provider Identifier is 1750646196, issued on Jul 11, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, MN. The record was last updated on Jan 15, 2021.