Jacob Johnson, SOIDC is an independent duty corpsman military health care provider in Holly Ridge, NC. The provider is a Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. Jacob Johnson, SOIDC NPI is 1588273999. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
413 SALVO CT
HOLLY RIDGE, NC
ZIP 28445-609
Phone: (573) 201-6504
The enumeration date for this NPI number is 7/31/2020 and was last updated on 7/31/2020.