JENNIFER JOHNSTAD LLC NPI 1316182926

NPI Information

NPI: 1316182926
Provider Name: JENNIFER JOHNSTAD LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2421 E SOUTHERN AVE
SUITE 1
TEMPE, AZ
ZIP 85282
Phone: (480) 485-2158
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JENNIFER JOHNSTAD LLC is a surgical physician assistant in Tempe, AZ. JENNIFER JOHNSTAD LLC NPI is 1316182926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2421 E SOUTHERN AVE
SUITE 1
TEMPE, AZ
ZIP 85282-612
Phone: (480) 485-2158
Fax: (480) 839-4727

The provider's authorized official is Jennifer Anne Johnstad .
The authorized official title is Physician Assistant and has the following contact phone number (480) 512-3970.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 8/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	2492	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P82782	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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