NPI 1144802869

Jennifer Renee Johnson, FDN

Practitioner Health & Wellness Coach Boise, ID

Practice location

Address: 4221 W Farm View Dr, Boise, ID 83714-9354
Phone: (702) 557-4451

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence NA (ID)

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Registry record

NPI: 1144802869
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2021
Record last updated: 22 Apr 2021

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.