Individual provider · Type 1 NPI

Jennifer Anne Johnstad, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1336325620 Active

Practice location

5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250

Other practice locations

  • 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 · (480) 512-3970

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X2492 (AZ)
Medical Physician Assistant Primary 363AM0700XPA55545 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1336325620

Jennifer Anne Johnstad, PA-C's National Provider Identifier is 1336325620, issued on Jan 16, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on May 6, 2019.