Jermaine Johnson

NPI #1376415620 in Elyria, Ohio

Provider Information

NPI Number: 1376415620
Entity Type: Individual
Name: Jermaine Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Sep 18, 2025
Last Updated: Sep 18, 2025

Practice Location

Address: 120 HAYES AVE
City: Elyria
State: Ohio
ZIP Code: 44035-3534
Phone: (440) 420-6942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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