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Jill M Johnson, PA-C

Physician Assistant in Anchorage, AK. Individual provider (NPI-1).

NPI number1861574493
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1861574493
Entity type
Individual (NPI-1)
Name
Jill M Johnson
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant405AKYes

Practice location

1217 E 10th Ave
Anchorage, AK 99501-4003

Phone 907-257-4652 · Fax 907-792-6546

Mailing address

Po Box 201849
Anchorage, AK 99520-1849

Phone 907-792-6561 · Fax 907-792-6546

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