Individual provider · Type 1 NPI

Jeanelle Johnson, PA-C

Medical Physician Assistant · Norfolk, VA

NPI number 1043971708 Active

Practice location

6379 Center Dr
Norfolk, VA 23502-4102

Call (757) 467-4200 Map

Mailing address

204 W 22nd St Apt 109
Norfolk, VA 23517-2208

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110008662 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1043971708

Jeanelle Johnson, PA-C's National Provider Identifier is 1043971708, issued on Jan 5, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norfolk, VA. The record was last updated on Aug 19, 2022.