Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jeremiah Johnson

Organization Licensed Practical Nurse · NPI 1639401755

Jeremiah Johnson provides Licensed Practical Nurse services in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010

Practice location Address checks out

3035 W Wisconsin Ave Apt 205
Milwaukee, WI 53208-3987 Not confirmed with CMS for 16 years — call before visiting
Phone: (414) 429-7880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 311777-031 (WI)

Record details

NPI number1639401755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremiah Johnson — Licensed Practical Nurse · (414) 429-7880
NPI enumeratedFebruary 1, 2010
Last updated in NPPESFebruary 1, 2010
Mailing address3035 W Wisconsin Ave Apt 205, Milwaukee, WI 53208-3987

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