JESSICA RODRIGUES JOHNSON PA-C NPI 1568759983

NPI Information

NPI: 1568759983
Provider Name: JESSICA RODRIGUES JOHNSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3555 LUTHERAN PARKWAY
SUITE 340
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 996-6005
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Jessica Rodrigues Johnson, PA-C is a medical physician assistant in Wheat Ridge, CO. Jessica Rodrigues Johnson, PA-C NPI is 1568759983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3555 LUTHERAN PARKWAY
SUITE 340
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 996-6005
Fax: (303) 420-8831

The enumeration date for this NPI number is 7/6/2011 and was last updated on 10/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		3223	COLORADO	No
2	363AM0700X	Physician Assistant	Medical	3223	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23722321	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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