Individual
JERRILYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8501 75TH ST, SUITE J, KENOSHA, WI 53142-7602
(262) 898-4400
(262) 764-6157
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9146
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1069-23
WI
363AM0700X
Medical Physician Assistant
1069
WI
Other
Enumeration date
07/10/2006
Last updated
09/20/2021
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