Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER JOHANSSON, PA-C
ActivePhysician Assistant · LIVERPOOL, NY
Registration Details
- NPI Number
- 1578816856
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2012 (13.537007084771 yrs)
- Last Updated
- Nov 15, 2021
- Licenses
-
016039 (NY)016039 (NY)
Practice Information
- Address
-
235 GREENFIELD PKWYLIVERPOOL, NY, 130886651Browse NY providers · Browse ZIP 13088
- Phone
- 3154523376
- Fax
- 5184793794
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LIVERPOOL, NY
| Name | Credential | NPI |
|---|---|---|
| DEBRA A WOLF | PA | 1093785537 |
| MR. LAWRENCE CONLEY | R.P.A | 1972579902 |
| JOY O'BRYAN CURRAN | PA-C | 1326082215 |
| SHARI LYN ENGLAND | PA-C | 1740376425 |
| JUDY A DILIBERTO | PA | 1124109467 |
| SANDRA MARIE BANAS | — | 1891860086 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.