| Jennifer G. Johnson | |
|
7801 York Rd Ste 300 Towson MD 21204-7449 | |
| (410) 337-0720 | |
| (410) 337-0714 |
| Full Name | Jennifer G. Johnson |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7801 York Rd Ste 300, Towson, Maryland |
| Authorized Official Name and Position | Jennifer Gail Johnson (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 4107763652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer G. Johnson 7801 York Rd Ste 300 Towson MD 21204-7449 Ph: (410) 337-0720 | Jennifer G. Johnson 7801 York Rd Ste 300 Towson MD 21204-7449 Ph: (410) 337-0720 |
| NPI Number | 1841686086 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841686086 | NPI | - | NPPES |
| 1184027484 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R189440 (Maryland) | Primary |
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