Jeremiah Johnson, BSN

NPI #1669874913 in Medical Lake, Washington

Provider Information

NPI Number: 1669874913
Entity Type: Individual
Name: Jeremiah Johnson, BSN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: BSN
Enumeration Date: Sep 18, 2014
Last Updated: Sep 18, 2014

Practice Location

Address: 850 MAPLE ST.
City: Medical Lake
State: Washington
ZIP Code: 99022
Phone: (509) 565-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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