Provider Demographics
NPI:1518123850
Name:JOHNSON ZORTMAN, JESSICA NANCY (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:NANCY
Last Name:JOHNSON ZORTMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 S 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3038
Mailing Address - Country:US
Mailing Address - Phone:402-933-7944
Mailing Address - Fax:402-933-5774
Practice Address - Street 1:2723 S 87TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3038
Practice Address - Country:US
Practice Address - Phone:402-933-7944
Practice Address - Fax:402-933-5774
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1491111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor