Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Alexander Johnson, PA-C

Individual provider Physician Assistant · NPI 1467229666

Jack Alexander Johnson, PA-C is a Physician Assistant in Des Moines, Iowa. Licensed in Iowa. Registered with an NPI since 2023.

Licensed in
IA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 Pleasant St
Des Moines, IA 50309-1406
Phone: (515) 241-6962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IA)

Record details

NPI number1467229666
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2023
Last updated in NPPESApril 11, 2026
Certification dateApril 11, 2026
Mailing address5032 Wistful Vista Dr, West Des Moines, IA 50265-6922

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