Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JETTIE MARIE JOHNSON
Active Sole ProprietorMRS. JETTIE MARIE JOHNSON is a In Home Supportive Care Agency healthcare provider located in CUMBERLAND, Indiana. NPI 1649573817 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · CUMBERLAND, IN
Registration Details
- NPI Number
- 1649573817
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2010 (15.668729200233 yrs)
- Last Updated
- Dec 10, 2010
- License
-
10-012295-1 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2736 ROTHE LNCUMBERLAND, IN, 462295516Browse IN providers · Browse ZIP 46229
- Phone
- 3174543930
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
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.