Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 S TEJON ST STE 250, COLORADO SPRINGS, CO 80903-2139
(719) 623-3068
Mailing address
421 S TEJON ST STE 250, COLORADO SPRINGS, CO 80903-2139
(719) 623-3068
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0006363
CO
Other
Enumeration date
09/09/2020
Last updated
12/23/2022
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