DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA LYNN JOHNSON

MEDICARE: JESSICA LYNN JOHNSON
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1396397113
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYNN JOHNSON
Provider Business Mailing Address
First Line : 118 BURTON ST APT B
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-1203
Country : US
Telephone Number : 907-312-0643
Fax Number :
Provider Business Practice Location Address
First Line : 3710 E 20TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3418
Country : US
Telephone Number : 907-222-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 04/28/2022

Similar Medicare Providers

1770606253 — CATHOLIC SOCIAL SERVICES
Practice Location Address:
3710 E 20TH AVE STE 1
ANCHORAGE, AK
99508-3418
Practice Phone: 907-276-5590
Practice Fax:
1396120861 — CHARITY DULEY
Practice Location Address:
3710 E 20TH AVE
ANCHORAGE, AK
99508-3418
Practice Phone: 907-744-4024
Practice Fax:
1821643412 — CORDERO ALLAN WADE-GONZALES
Practice Location Address:
3710 E 20TH AVE
ANCHORAGE, AK
99508-3418
Practice Phone: 907-306-8693
Practice Fax: 907-257-1091
1710510110 — CLARK ALLEN DAVIS
Practice Location Address:
3710 E 20TH AVE
ANCHORAGE, AK
99508-3418
Practice Phone: 907-222-7300
Practice Fax:
1730794785 — HEATHER JULIA LUBINSKI
Practice Location Address:
3710 E 20TH AVE
ANCHORAGE, AK
99508-3418
Practice Phone: 190-776-4384
Practice Fax:
1285378588 — MRS. DESIREE KAAHU
Practice Location Address:
3710 E 20TH AVE
ANCHORAGE, AK
99508-3418
Practice Phone: 907-764-7938
Practice Fax:

Directions to “ JESSICA LYNN JOHNSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.