Provider Demographics
NPI:1699005371
Name:JOHNSON, JENNIFER TURNER (CD(DONA),CCCE)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:TURNER
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CD(DONA),CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6540 SARGASSO WAY
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-1810
Mailing Address - Country:US
Mailing Address - Phone:561-889-7072
Mailing Address - Fax:
Practice Address - Street 1:6540 SARGASSO WAY
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-1810
Practice Address - Country:US
Practice Address - Phone:561-889-7072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-02
Last Update Date:2010-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL542187260374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula