Individual provider · Type 1 NPI

Jasmine Lynette Johnese, PA-C

Physician Assistant · Mexico, MO

NPI number 1194653600 Active

Practice location

340 Kelley Pkwy
Mexico, MO 65265-3811

Fax (573) 582-1212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2026042753 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194653600

Jasmine Lynette Johnese, PA-C's National Provider Identifier is 1194653600, issued on May 13, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mexico, MO. The record was last updated on Oct 20, 2026.