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

Jacob Grant Johnson

Individual provider Medical Physician Assistant · NPI 1699698670

Jacob Grant Johnson is a Medical Physician Assistant in Taylorsville, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

1533 W Cannonwood Pl
Taylorsville, UT 84123-6693
Phone: (208) 350-1970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 14297271-1206 (UT)

Record details

NPI number1699698670
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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