Individual provider · Type 1 NPI
Jerrold Johnson
Military Health Care Provider · Bedford Heights, OH
NPI number
1861372096
Active
Practice location
6679 Balsam Dr
Bedford Heights, OH 44146-4804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Military Health Care Provider Primary | 171000000X | None listed |
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.
2 other providers at this address
About NPI 1861372096
Jerrold Johnson's National Provider Identifier is 1861372096, issued on Sep 8, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Bedford Heights, OH. The record was last updated on Sep 8, 2025.