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

Jacob Michael Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134061716

Jacob Michael Johnson is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-1834
Phone: (315) 464-4472
Show map & directions

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 number1134061716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Other providers in Syracuse