Individual provider · Type 1 NPI

Jacqueline Johnson, CRNA

Certified Registered Nurse Anesthetist · Philadelphia, PA

NPI number 1972803468 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-3326 Map

Fax (215) 707-8028

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

  • 7652 Woodbine Ave, Philadelphia, PA 19151-2721 · (215) 878-7077
  • 1600 Haddon Ave Fl 3, Camden, NJ 08103-3101 · (856) 988-6260

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X26NJ00413800 (NJ)
Certified Registered Nurse Anesthetist 367500000XRN528826L (PA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1972803468

Jacqueline Johnson, CRNA's National Provider Identifier is 1972803468, issued on Oct 30, 2010. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 2, 2026.