NPI

Jerod Johnson

NPI 1396273850

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
ms
Type
Individual
Enumeration date
2017-05-30
Last updated
2022-07-21

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Specialties

Licenses

License AR
A1707231

Location

Practice location
949 N Main St
City
Mulberry AR
Postal code
72947-8538
Phone
(479) 452-5040

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mulberry, AR. 39 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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