Search › Wisconsin › 363A00000X
Jerrilyn Johnson, PA-C
NPI 1568496990 · on the registry since 2006
Practice
- Address
- 8501 75th St
Suite J
Kenosha, WI 53142 - Phone
- (262) 898-4400
- Fax
- (262) 764-6157
- Organisation at this address
- Forefront Dermatology, S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 9020 76th St Ste E, Pleasant Prairie, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-20
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 Wisconsin