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

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

Other providers in Nellis AFB