Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN L JOHNSON, MS, CGC
ActiveJACQUELYN L JOHNSON, MS, CGC is a Genetic Counselor healthcare provider located in BLOOMINGTON, Illinois. NPI 1194380576 is currently active in the NPPES registry. Verify at CMS.
Genetic Counselor · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1194380576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2019 (7.2460704729768 yrs)
- Last Updated
- Oct 5, 2021
- License
-
246000255 (IL)
Practice Information
- Address
-
2200 E WASHINGTON STBLOOMINGTON, IL, 617014364Browse IL providers · Browse ZIP 61701
- Phone
- 3096654849
- Primary Specialty
-
Genetic Counselor
170300000X
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.