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Contact Information

JENNIFER JOHANSEN, APN
3350 ROUTE 138
WALL TOWNSHIP, NJ07733
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER JOHANSEN · (Female)

NPI Number 1942758859
Status Active
Credentials APN
Entity Individual
Enumeration date 09/20/2016
Last updated 05/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00668000
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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