Active NPIIndividual providerSole proprietor

Jessica T Johnson

Registered Nurse, General Practice in Springfield, Massachusetts

NPI Number1275203549
Practice location
115 Dunmoreland St, Springfield, MA 01109-3261
Fax
—
Last updated
January 31, 2025

Jessica Tynea Johnson is a Registered Nurse, General Practice based in Springfield, MA. Jessica Tynea Johnson practices in Springfield, MA. The NPI Number for Jessica Tynea Johnson is 1275203549 and holds a License No. RN2388726 (MA). The current practice location address for Jessica Tynea Johnson is 115 Dunmoreland St, Springfield, MA 01109-3261 and can be reached out via phone at 413-219-3689.

Provider Profile Details

NPI Number
1275203549
Provider Name
Jessica Tynea Johnson
Provider Entity Type
Individual
Gender
Female
Address
115 Dunmoreland St, Springfield, MA 01109-3261
Phone Number
413-219-3689
Primary Taxonomy
Registered Nurse, General Practice · 163WG0000X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2021
Last Update Date
January 31, 2025
Certification Date
January 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Dunmoreland St
Springfield, MA 01109-3261
Zip
01109-3261
Phone Number
413-219-3689
Springfield, MA 01109Get directions →

Provider Business Mailing Address Details

Address
115 Dunmoreland St
Springfield, MA 01109-3261
City
Springfield
State
MA
Zip
01109-3261
Phone Number
413-219-3689

License Information

License Number
RN2388726
License State
MA
Taxonomy
Registered Nurse, General Practice · 163WG0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica T Johnson?

The NPI number of Jessica T Johnson is 1275203549. It was assigned on September 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica T Johnson?

Jessica T Johnson is registered under the primary taxonomy Registered Nurse, General Practice (code 163WG0000X), licensed in MA under license number RN2388726.

Where does Jessica T Johnson practice?

The practice location is 115 Dunmoreland St, Springfield, MA 01109-3261. The office can be reached at 413-219-3689 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275203549 directly on the NPPES registry website.

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