Individual
JESSICA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5927 OLD TIMUQUANA RD, JACKSONVILLE, FL 32210-7889
(844) 937-4731
Mailing address
1244 S OCEAN SHORE BLVD, FLAGLER BEACH, FL 32136-3703
(904) 556-6152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
04/15/2022
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