Individual
JESSICA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 ASHVILLE AVE, CARY, NC 27518-8682
(919) 233-8585
(919) 233-8566
Mailing address
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
(239) 785-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01562
NC
Other
Enumeration date
04/02/2009
Last updated
04/09/2020
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