IndividualActive
Jerrold Johnson
NPI 1861372096 · Military Health Care Provider · Bedford Heights, OH
Provider details
- NPI number
- 1861372096
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Driver172A00000X
Other Service Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
6679 Balsam Dr
Bedford Heights, OH 44146-4804
Phone: (407) 450-4549
Approximate (ZIP-level) locationGet directions
Mailing address
6679 Balsam Dr
Bedford Heights, OH 44146-4804
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.