Whalio Doctors

NPI 1639699549

Jaclyn Kristin Johnson, LPN

Practitioner Licensed Practical Nurse Casper, WY

Practice location

Address
1430 Wilkins Circle, Casper, WY 82601-1336
Phone
(307) 237-9583
Fax
(307) 265-7277
Mailing address
1430 Wilkins Cir, Casper, WY 82601-1336

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 8623 (WY)

Registry record

NPI
1639699549
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jun 2017
Record last updated
21 Jul 2022

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.