IndividualActive
Jennifer Johnson, LMP
NPI 1265659817 · Contractor · Poulsbo, WA
Provider details
- NPI number
- 1265659817
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA00017858 (WA)
Specialties & taxonomies
Other Service Providers
Practice location
19068 Jensen Way
Poulsbo, WA 98370
Phone: (360) 509-2707
Fax: (360) 297-4424
Approximate (ZIP-level) locationGet directions
Mailing address
12545 Ne Marine View Dr
Kingston, WA 98346-9160
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.