Individual
MS. JENNIFER ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4102 PINION DR, US AIR FORCE, CO 80840-2502
(719) 333-5041
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5041
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1470-023
WI
363AS0400X
Surgical Physician Assistant
Primary
PA.0004517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41960600
—
WI
Enumeration date
05/20/2006
Last updated
11/22/2024
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