MEDICARE: DR. JENNIFER JOHNSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH11626	FL

General Provider Information

NPI Number	:	1033526306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER JOHNSON D.C.

Provider Business Mailing Address
First Line	:	800 WESTWOOD SQ STE D
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8849
Country	:	US
Telephone Number	:	407-542-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WESTWOOD SQ STE D
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8849
Country	:	US
Telephone Number	:	407-542-1500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2014
Last Update Date	:	06/15/2026

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