IndividualActive
Jenifer Johnson
NPI 1710237953 · Radiologic Technologist · Rockford, IL
Provider details
- NPI number
- 1710237953
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
Practice location
6905 E State St
Rockford, IL 61108-2692
Phone: (815) 397-4142
Approximate (ZIP-level) locationGet directions
Mailing address
6905 E State St
Rockford, IL 61108-2692
Registry dates
- Enumerated
- 2012-09-14
- Last updated
- 2012-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.