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

Jacklyn A Johnson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235751512

Jacklyn A Johnson, MD is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-8095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235751512
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2020
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address601 Elmwood Ave, Box 673, Rochester, NY 14642-0001

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