Individual
JASMINE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 E MARKET ST, CLOVERDALE, IN 46120-8427
(765) 795-4242
Mailing address
14 MARYVALE CT, MOORESVILLE, IN 46158-1227
(317) 220-7973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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