Jessica Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

94807 Issued in WV

Practice address

112 Mellon St
Beckley, WV 25801-3536

Phone

(304) 255-5263

NPI assigned

Jun 21, 2023

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

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1306521950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CANTERBURY DR",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188428",
            "telephone_number": "304-573-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MELLON ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013536",
            "telephone_number": "304-255-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "94807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deion Johnson
• Erica Johnson
• Erika Nicole Johnson
• Jalisa Johnson
• Jessica Johnson
• Jessica Ann Johnson, PHARMD
• John H Johnson, MD
• John Henry Johnson Jr., MSW
• Joy Johnson
• Michael Anthony Johnson, MSW

• Registered Nurse in Beckley, WV
• Providers in Beckley, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.