DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMILAH JOHNSON

Active Sole Proprietor

JAMILAH JOHNSON is a Primary Care Nurse Practitioner healthcare provider located in WILLOWBROOK, Illinois. NPI 1154796605 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · WILLOWBROOK, IL

Registration Details

NPI Number
1154796605
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2015 (10.721886380229 yrs)
Last Updated
Sep 9, 2021
License
209.013642 (IL)
Sole Proprietor
Yes

Practice Information

Address
40 75TH ST
WILLOWBROOK, IL, 605272325
Browse IL providers · Browse ZIP 60527
Phone
6305815372
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.