Provider Demographics
NPI:1295614774
Name:JOHNSON, JOCELYN-MARIE A
Entity type:Individual
Prefix:MRS
First Name:JOCELYN-MARIE
Middle Name:A
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:A
Other - Last Name:KUYPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2486 LITTLE DIVINE RD
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-7820
Mailing Address - Country:US
Mailing Address - Phone:513-390-4985
Mailing Address - Fax:
Practice Address - Street 1:2486 LITTLE DIVINE RD
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-7820
Practice Address - Country:US
Practice Address - Phone:513-390-4985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula