Individual
JAIME ELEANOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13025
MN
363A00000X
Physician Assistant
Primary
9665
AZ
Other
Enumeration date
10/01/2018
Last updated
06/30/2023
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