IndividualActive
Jennifer Johnson, RN
NPI 1063366607 · Critical Care Medicine Registered Nurse · Kenosha, WI
Provider details
- NPI number
- 1063366607
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1108666 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
10400 75th St
Kenosha, WI 53142-8323
Phone: (262) 948-5730
Approximate (ZIP-level) locationGet directions
Mailing address
10400 75th St
Kenosha, WI 53142-8323
Registry dates
- Enumerated
- 2026-02-23
- Last updated
- 2026-02-23
- Certified
- 2026-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.