Most Relevant Information
Provider Data
| NPI Number: | 1003205212 |
| Provider Name: | JENARY LYNN JOHNSON R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN356919 |
Most Important Dates
| Enumeration Date: | 01/12/2015 |
| Last Updated: | 12/22/2020 |
Provider Practice Location
1000 CHAPEL RDG NE
CANTON
OH
447142752
Practice Location Phone/Fax
| Phone: | 3302653203 |
| Fax: |
Provider Mailing Location
1000 CHAPEL RDG NE
CANTON
OH
447142752
Provider Mailing Phone/Fax
| Phone: | 3302653203 |
| Fax: |