Individual provider · Type 1 NPI
Jessica Johnson, DPM
Foot & Ankle Surgery Podiatrist · Streator, IL
NPI number
1790076289
Active
Practice location
1014 Lowden Rd
Streator, IL 61364-1418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO 3668 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1790076289
Jessica Johnson, DPM's National Provider Identifier is 1790076289, issued on May 2, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Streator, IL. The record was last updated on Aug 7, 2014.