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

Jennifer Lynn Johnson, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1356637532

Jennifer Lynn Johnson, DO is an Obstetrics/Gynecology in Nellis AFB, Nevada. Qualified in 2005, 21 years ago. Practices with Riverside Hospital Inc, a 47-clinician group and accepts Medicare assignment. Licensed in Nevada, New York and Virginia.

Years since qualifying
21
Licensed in
NV, NY, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 0102205825 (VA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 261653 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence DO1867 (NV)

Record details

NPI number1356637532
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2011
Last updated in NPPESNovember 4, 2019
Mailing address856 J Clyde Morris Blvd, Ste A, Newport News, VA 23601-1318

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Riverside Hospital Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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