IndividualActive
Jayden Johnson
NPI 1679464119 · Military Health Care Provider · Brookings, SD
Provider details
- NPI number
- 1679464119
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- E3904089
Mailing address
527 5th Ave S Apt F6
Brookings, SD 57006-3340
Registry dates
- Enumerated
- 2025-07-12
- Last updated
- 2025-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.