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

Jacob Marc Johnson, PA-C

Individual provider Physician Assistant · NPI 1922884758

Jacob Marc Johnson, PA-C is a Physician Assistant in Barksdale AFB, Louisiana. Registered with an NPI since 2023.

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

See every abbreviation used in this directory →

Practice location Address checks out

243 Curtiss Rd
Barksdale AFB, LA 71110-2425
Phone: (318) 456-6555
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922884758
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 7, 2023
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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