JERRILYN JOHNSON, PA-C
Physician Assistant
Active
Individual
NPI: 1568496990
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 1069 (WI) |
| Physician Assistant | 363A00000X | Yes | 1069-23 (WI) |
Frequently Asked Questions
NPI 1568496990 is the National Provider Identifier for JERRILYN JOHNSON, PA-C, a Physician Assistant provider located in Kenosha, WI. This NPI was enumerated on July 10, 2006.
JERRILYN JOHNSON, PA-C practices at 8501 75TH ST, SUITE J, Kenosha, WI 53142.
Quick Facts
- NPI
- 1568496990
- Type
- Individual
- Enumerated
- Jul 10, 2006
- Last Updated
- Sep 20, 2021
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