Individual
JACQUELINE MARIE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 CROSSPOINTE DR STE 101, NAPLES, FL 34110-0918
(239) 231-1414
Mailing address
3890 21ST AVE SW, NAPLES, FL 34117-6624
(904) 252-2623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114074
FL
363AM0700X
Medical Physician Assistant
PA9114074
FL
Other
Enumeration date
02/11/2021
Last updated
06/07/2022
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