Individual provider · Type 1 NPI

Jeffery L. Johnson, PA

Physician Assistant · Eagle, ID

NPI number 1609887801 Active

Practice location

3217 W Bavaria Street
Eagle, ID 83616

Call (208) 239-1000 Map

Fax (208) 239-2136

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA416 (ID)

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 1609887801

Jeffery L. Johnson, PA's National Provider Identifier is 1609887801, issued on Aug 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eagle, ID. The record was last updated on Feb 3, 2021.