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

Jean M Johnson

Individual provider Surgical Assistant · NPI 1164011490

Jean M Johnson is a Surgical Assistant in Bowling Green, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2021

Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 781-4828
Fax: (270) 781-4828
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence TSA008 (KY)

Record details

NPI number1164011490
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104

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