MRS. JACQUELINE JOHANSON, P.A.-C

Physician Assistant

Active Individual
NPI: 1952304982

Practice Address

310 LAFAYETTE AVE SE STE 410
Grand Rapids, MI 49503

Phone: (616) 685-8200

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 5601008301 (MI)

Frequently Asked Questions

NPI 1952304982 is the National Provider Identifier for MRS. JACQUELINE JOHANSON, P.A.-C, a Physician Assistant provider located in Grand Rapids, MI. This NPI was enumerated on May 23, 2005.
MRS. JACQUELINE JOHANSON, P.A.-C practices at 310 LAFAYETTE AVE SE STE 410, Grand Rapids, MI 49503.

Quick Facts

NPI
1952304982
Type
Individual
Enumerated
May 23, 2005
Last Updated
Dec 28, 2021

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