Individual provider · Type 1 NPI

Jennie Santangelo Johnson, PA-C

Medical Physician Assistant · Fernandina Beach, FL

NPI number 1336190792 Active

Practice location

1348 S 18th St Ste 100
Fernandina Beach, FL 32034-4785

Call (904) 261-0878 Map

Fax (904) 277-7054

Mailing address

4800 Belfort Rd
Jacksonville, FL 32256-6004

Other practice locations

  • 1542 Kingsley Ave, Suite 140, Orange Park, FL 32073-4586 · (904) 579-3189

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103620 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1336190792

Jennie Santangelo Johnson, PA-C's National Provider Identifier is 1336190792, issued on May 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fernandina Beach, FL. The record was last updated on Mar 17, 2018.