Individual
MS. JILLIAN MARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAP, PA-C
Contact information
Practice address
425 W 19TH ST STE D&E, PANAMA CITY, FL 32405-4659
(850) 818-0220
(850) 818-0156
Mailing address
PO BOX 13834, TALLAHASSEE, FL 32317-3834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9115810
FL
Other
Enumeration date
04/11/2022
Last updated
07/09/2024
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