JENNIFER DAVIS JOHNSON PA-C NPI 1215935044

NPI Information

NPI: 1215935044
Provider Name: JENNIFER DAVIS JOHNSON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1855 SPRINGHILL AVE
MOBILE, AL
ZIP 36607
Phone: (251) 471-3544
Get Directions

Jennifer Davis Johnson, PA-C is a surgical physician assistant in Mobile, AL. Jennifer Davis Johnson, PA-C NPI is 1215935044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1855 SPRINGHILL AVE
MOBILE, AL
ZIP 36607-301
Phone: (251) 471-3544
Fax: (251) 476-7254

The enumeration date for this NPI number is 7/14/2005 and was last updated on 7/8/2007.

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	PA-78	ALABAMA	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	R76049	MEDICARE UPIN
2	510-43956	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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