Individual
JENNIFER MARIE-SMITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
804 S HAMILTON ST, SAGINAW, MI 48602-1516
(989) 921-5372
(989) 921-5373
Mailing address
501 LAPEER AVE, HEALTH DELIVERY INC, SAGINAW, MI 48607-1208
(989) 759-6400
(989) 759-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010145
MCLAREN HEALTH PLAN
—
01
—
139492
GREAT LAKES HEALTH PLAN
—
01
—
256
COMMUNITY CHOICE
MI
01
—
2832651
MOLINA HEALTH CARE
MI
01
—
970024194
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
04/08/2021
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