Jessica M Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

660411 Issued in PA

Practice address

228 N 14TH St
Harrisburg, PA 17103-1305

Phone

(717) 317-8713

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica M Zimmerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1063870004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N 14TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171031305",
            "telephone_number": "717-317-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N 14TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171031305",
            "telephone_number": "717-317-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "660411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ZIMMERMAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clark Timothy Johnson, MD
• Deborah Gale Johnson, LSW
• Douglas Johnson, CRNA
• Emily Johnson, RN
• Eric Johnson, CADC,B.S. B.A.
• Justin K Johnson, DO
• Kenneth Johnson, LBS
• Kevin Robert Johnson, DPT
• Mark J Johnson, PSYD
• Pamela Denise Johnson, LPN

• Registered Nurse in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.