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Jaclyn Mae Johnson
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1710554548

Jaclyn Mae Johnson is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Jaclyn Mae Johnson practices in Glendale, AZ. The NPI Number for Jaclyn Mae Johnson is 1710554548 and holds a License No. (Arizona).

The current practice location address for Jaclyn Mae Johnson is 6610 N 93Rd Ave Apt 3092, Glendale, AZ and can be reached out via phone at 612-747-2489.

Location: 6610 N 93Rd Ave Apt 3092, Glendale, AZ, 85305-3198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710554548
Provider Name
Jaclyn Mae Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6610 N 93Rd Ave Apt 3092, Glendale, AZ, 85305-3198
Phone Number
612-747-2489
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6610 N 93Rd Ave Apt 3092
City
Glendale
State
Arizona
Zip
85305-3198
Phone Number
612-747-2489
Fax Number
person
Provider Business Mailing Address Details
Address
6610 N 93Rd Ave Apt 3092
City
Glendale
State
Arizona
Zip
85305-3198
Phone Number
612-747-2489
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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