IndividualActive
Jennie Johnson, M.D.
NPI 1578820502 · Infectious Disease Physician · Providence, RI
Provider details
- NPI number
- 1578820502
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD16218 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1125 N Main St
Providence, RI 02904-5739
Phone: (401) 793-2928
Fax: (401) 793-7401
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Additional practice locations (4)
- 180 Corliss St Ste E2Providence, RI 02904-2602Phone: (401) 793-2928
- 164 Summit AveProvidence, RI 02906-2853Phone: (401) 793-4765Fax: (401) 793-4534
- 180 Corliss St Ste E1Providence, RI 02904-2602Phone: (401) 793-2928
- 375 Wampanoag TrlRiverside, RI 02915-2232Phone: (401) 649-4080Fax: (401) 649-4081
Registry dates
- Enumerated
- 2012-04-16
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.