Individual
JILL M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1217 E 10TH AVE, ANCHORAGE, AK 99501-4003
(907) 257-4652
(907) 792-6546
Mailing address
PO BOX 201849, ANCHORAGE, AK 99520-1849
(907) 792-6561
(907) 792-6546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
405
AK
Other
Enumeration date
10/20/2006
Last updated
07/09/2007
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