Individual provider · Type 1 NPI

Jacqueline S. Johanson, P.A.-C

Physician Assistant · Grand Rapids, MI

NPI number 1952304982 Active

Practice location

310 Lafayette Ave SE Ste 410
Grand Rapids, MI 49503-4693

Call (616) 685-8200 Map

Fax (616) 685-8202

Other practice locations

  • 230 Michigan St NE Ste 230, Grand Rapids, MI 49503-1709 · (404) 355-3161

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008301 (MI)

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 1952304982

Jacqueline S. Johanson, P.A.-C's National Provider Identifier is 1952304982, issued on May 23, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 28, 2021.