IndividualActive
Jade Johnson, ATC
NPI 1073083457 · Sports Medicine (Preventive Medicine) Physician · Wayne, NE
Provider details
- NPI number
- 1073083457
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 777 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1111 Main St
Wayne, NE 68787-1181
Phone: (402) 375-7162
Approximate (ZIP-level) locationGet directions
Mailing address
521 E 6th St
Wayne, NE 68787-2210
Registry dates
- Enumerated
- 2018-11-28
- Last updated
- 2018-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.