JERROLD JOHNSON

Military Health Care Provider

Active Individual
NPI: 1861372096

Practice Address

6679 BALSAM DR
Bedford Heights, OH 44146

Phone: (407) 450-4549

Specialties

Specialty Code Primary License
Driver 172A00000X No -
Home Health Aide 374U00000X No -
Military Health Care Provider 171000000X Yes -

Frequently Asked Questions

NPI 1861372096 is the National Provider Identifier for JERROLD JOHNSON, a Military Health Care Provider provider located in Bedford Heights, OH. This NPI was enumerated on September 8, 2025.
JERROLD JOHNSON practices at 6679 BALSAM DR, Bedford Heights, OH 44146.

Quick Facts

NPI
1861372096
Type
Individual
Enumerated
Sep 8, 2025
Last Updated
Sep 8, 2025

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