Jackilee Wynnell Johnson, RN

NPI #1902251788 in Clinton, Washington

Provider Information

NPI Number
1902251788
Entity Type
Individual
Name
Jackilee Wynnell Johnson, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Apr 28, 2016
Last Updated
Apr 28, 2016

Practice Location

Address
7727 SUMMIT VIEW LN
ZIP Code
98236-8943
Phone
(720) 301-6103

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Provider Name
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