Individual provider · Type 1 NPI

Jack Alexander Johnson, PA-C

Physician Assistant · Des Moines, IA

NPI number 1467229666 Active

Practice location

1200 Pleasant St
Des Moines, IA 50309-1406

Call (515) 241-6962 Map

Mailing address

5032 Wistful Vista Dr
West Des Moines, IA 50265-6922

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1467229666

Jack Alexander Johnson, PA-C's National Provider Identifier is 1467229666, issued on Dec 7, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Des Moines, IA. The record was last updated on Apr 11, 2026.