Individual
JESSICA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10240 W INDIAN SCHOOL RD STE 100, PHOENIX, AZ 85037-5905
(480) 821-3600
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10411
AZ
Other
Enumeration date
04/19/2024
Last updated
06/25/2024
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