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

MR. DERRICK JEROD JOHNSON, MS

Active Sole Proprietor

MR. DERRICK JEROD JOHNSON, MS is a Audiologist healthcare provider located in BRANDYWINE, Maryland. NPI 1942473186 is currently active in the NPPES registry. Verify at CMS.

Audiologist · BRANDYWINE, MD

Registration Details

NPI Number
1942473186
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2008 (18.376350979022 yrs)
Last Updated
Jul 16, 2009
License
1147 (MD)
Sole Proprietor
Yes

Practice Information

Address
7601 MATAPEAKE BUSINESS DRIVE
BRANDYWINE, MD, 20613
Browse MD providers · Browse ZIP 20613
Phone
3017586857
Primary Specialty
Audiologist
231H00000X
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.