Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE S JOHANSON, P.A.-C
ActiveMRS. JACQUELINE S JOHANSON, P.A.-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1952304982 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1952304982
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2005 (21.183837959336 yrs)
- Last Updated
- Dec 28, 2021
- License
-
5601008301 (MI)
Practice Information
- Address
-
310 LAFAYETTE AVE SE STE 410GRAND RAPIDS, MI, 495034693Browse MI providers · Browse ZIP 49503
- Phone
- 6166858200
- Fax
- 6166858202
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| RENEE K SALYER | P.A-C | 1760481386 |
| MR. JOHN C HENDRICKS | PA-C | 1992705610 |
| CHERYL ANN SCHMITT | PA-C | 1851391031 |
| LARA ELIZABETH EVANS | PA-C | 1356343933 |
| BENJAMIN P LOYD | PA-C | 1174515167 |
| STEPH KRAUCHUNAS | PA | 1225022957 |
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.