Female

Jessica M. Johnson PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Jessica Marie Johnson PA-C

NPI Number

1124540588

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/07/2017

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1244 S OCEAN SHORE BLVD
5927 OLD TIMUQUANA RD

City

Flagler Beach
Jacksonville

State

FL
FL

Postal Code

32136-3703
32210-7889

Country

US
US

Telephone Number

(904) 556-6152
(844) 937-4731

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/15/2022

Provider Address

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