Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremiah Johnson

Organization Licensed Practical Nurse · NPI 1639401755

Jeremiah Johnson is a Licensed Practical Nurse 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
Phone: (414) 429-7880
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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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