NPI 1174294003
Jesse Johnson
Practice location
- Address
- 1641 Capitol Way, Bismarck, ND 58501-2195
- Phone
- (170) 125-8496
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1174294003
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Sep 2021
- Record last updated
- 21 Sep 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.