Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY EZRA JOHNSON
Active Sole ProprietorMR. JEREMY EZRA JOHNSON is a Athletic Trainer healthcare provider located in STATELINE, Nevada. NPI 1578197984 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STATELINE, NV
Registration Details
- NPI Number
- 1578197984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2020 (6.2944170688274 yrs)
- Last Updated
- Feb 24, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
331 TRAMWAY DR # 16STATELINE, NV, 894499812Browse NV providers · Browse ZIP 89449
- Phone
- 8056103415
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STATELINE, NV
| Name | Credential | NPI |
|---|---|---|
| NATALIE STEVENSON | — | 1962036376 |
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.