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Jerry Johnson

NPI 1295679413 · on the registry since 2026 · sole proprietor

Practice

Address
1163 Richter Rd
Columbus, OH 43223
Phone
(740) 646-8873

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio