Individual provider · Type 1 NPI
Jacob Grant Johnson
Medical Physician Assistant · Taylorsville, UT
NPI number
1699698670
Active
Practice location
1533 W Cannonwood Pl
Taylorsville, UT 84123-6693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 14297271-1206 (UT) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Taylorsville
About NPI 1699698670
Jacob Grant Johnson's National Provider Identifier is 1699698670, issued on Aug 4, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Taylorsville, UT. The record was last updated on Aug 4, 2026.