NPI 1013893858
Jolene Johnson
Practice location
- Address
- 712 1st Ave S, Lake Norden, SD 57248-3205
- Phone
- (605) 520-5868
- Fax
- (605) 785-3320
- Mailing address
- 802 1st Ave S # 229, Lake Norden, SD 57248-3206
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1013893858
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Aug 2025
- Record last updated
- 15 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.