Search › Rhode Island › 207RI0200X
Jennie Johnson, M.D
NPI 1578820502 · on the registry since 2012
Practice
- Address
- 1125 N Main St
Providence, RI 02904 - Phone
- (401) 793-2928
- Fax
- (401) 793-7401
- Clinicians at this address
- 11
Additional practice sites
- 180 Corliss St Ste E2, Providence, RI
- 164 Summit Ave, Providence, RI
- 180 Corliss St Ste E1, Providence, RI
- 375 Wampanoag Trl, Riverside, RI
Registry record
- Primary taxonomy
- 207RI0200X
207RI0200X
- Also registered as
- 207R00000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-23
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 Rhode Island