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

MRS. JENNIER RENEE JOHNSON, PRESIDENT

Active Sole Proprietor

MRS. JENNIER RENEE JOHNSON, PRESIDENT is a Assisted Living Facility healthcare provider located in BROOKSTON, Minnesota. NPI 1942586532 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · BROOKSTON, MN

Registration Details

NPI Number
1942586532
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2011 (14.611176248233 yrs)
Last Updated
Oct 26, 2011
Licenses
354457 (MN)
FBL-26096-34148 (MN)
354448 (MN)
Sole Proprietor
Yes

Practice Information

Address
8783 2ND STREET SOUTH
BROOKSTON, MN, 557110367
Browse MN providers · Browse ZIP 55711
Phone
2184535062
Fax
2184535064
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Custodial Care Facility
Additional Specialty
Assisted Living Facility
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.