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Jennifer Nicole Johnson, PT
Military Health Care Provider in Goodfellow Afb, Texas
NPI 1437174877

Jennifer Nicole Johnson is a Military Health Care Provider based in Goodfellow Afb, TX. Jennifer Nicole Johnson practices in Goodfellow Afb, TX and has the professional credentials of PT. The NPI Number for Jennifer Nicole Johnson is 1437174877 and holds a License No. 3088 (Texas).

The current practice location address for Jennifer Nicole Johnson is 271 Ft Richardson Ave, Goodfellow Afb, TX and can be reached out via phone at 325-654-5190.

Location: 271 Ft Richardson Ave, Goodfellow Afb, TX, 76908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437174877
Provider Name
Jennifer Nicole Johnson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
271 Ft Richardson Ave, Goodfellow Afb, TX, 76908
Phone Number
325-654-5190
Fax Number
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
271 Ft Richardson Ave
City
Goodfellow Afb
State
Texas
Zip
76908
Phone Number
325-654-5190
Fax Number
person
Provider Business Mailing Address Details
Address
271 Ft Richardson Ave
City
Goodfellow Afb
State
Texas
Zip
76908
Phone Number
325-654-5190
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
3088 (New Mexico)
Definition
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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