Individual
JENNIE SANTANGELO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1348 S 18TH ST STE 100, FERNANDINA BEACH, FL 32034-4785
(904) 261-0878
(904) 277-7054
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 389-7205
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292466800
—
FL
01
—
779795344A
GA MEDICAID
GA
01
—
U7310Y
MEDICARE
FL
Enumeration date
05/12/2006
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us