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

Jennifer Marie Johnson, FNP-C

Individual provider Registered Nurse · NPI 1205683869

Jennifer Marie Johnson, FNP-C is a Nurse Practitioner in Gary, West Virginia. Qualified in 2023, 3 years ago. Practices with Tug River Health Association, Inc, a 14-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
3
Licensed in
WV
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 507
Gary, WV 24836-0507
Phone: (304) 448-2101
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 119260 (WV)
Registered Nurse Taxonomy 163W00000X · Licence 97296 (WV)

Record details

NPI number1205683869
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 2, 2024
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tug River Health Association, Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare