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

Dr. Jennie Elizabeth Johnson, MD

Individual provider Infectious Disease Physician · NPI 1578820502

Dr. Jennie Elizabeth Johnson, MD is an Infectious Disease in Providence, Rhode Island. Graduated from Temple University School of Medicine in 2012, 14 years ago. Practices with The Miriam Hospital, a 185-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
14
Trained at
Temple University School of Medicine
Licensed in
RI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1125 N Main St
Providence, RI 02904-5739
Phone: (401) 793-2928
Fax: (401) 793-7401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 180 Corliss St Ste E1, Providence, RI 02904-2602 — (401) 793-2928
  • 180 Corliss St Ste E2, Providence, RI 02904-2602 — (401) 793-2928
  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 793-4765
  • 375 Wampanoag Trl, Riverside, RI 02915-2232 — (401) 649-4080

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence MD16218 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD16218 (RI)

Record details

NPI number1578820502
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice The Miriam Hospital — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Providence