Individual
JOHNATHON THOMAS CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(312) 599-7043
Mailing address
263 WESTON ST # 263, ROME CITY, IN 46784-1018
(260) 350-1326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005199A
IN
363A00000X
Physician Assistant
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221905
NCCPA
GA
Enumeration date
01/15/2026
Last updated
02/09/2026
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