SearchArkansas171W00000X

Jayvian Johnson

NPI 1568818672 · on the registry since 2016

Practice

Address
2116 E 11th St
Little Rock, AR 72202
Phone
(501) 425-8174

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-06

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 Arkansas