Individual
MRS. FELICIA JACKSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8737 COLESVILLE RD STE 700, SILVER SPRING, MD 20910-7901
(240) 269-6033
Mailing address
8737 COLESVILLE RD STE 700, SILVER SPRING, MD 20910-7901
(240) 269-6033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2491
AZ
363AM0700X
Medical Physician Assistant
PA03197
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
01/23/2023
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