Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRICK JOHNSON, RN
Active Sole ProprietorJERRICK JOHNSON, RN is a Rehabilitation Nurse healthcare provider located in MAUMELLE, Arkansas. NPI 1578301461 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Nurse · MAUMELLE, AR
Registration Details
- NPI Number
- 1578301461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2024 (2.0866622665112 yrs)
- Last Updated
- Jul 16, 2024
- Licenses
-
11221112610 (AR)218478 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 COMMERCIAL PARK CT APT 145MAUMELLE, AR, 721136992Browse AR providers · Browse ZIP 72113
- Phone
- 5014168867
- Primary Specialty
-
Rehabilitation Nurse
163WR0400X
- Additional Specialty
- Rehabilitation Nurse
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.