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

Individual provider Certified Registered Nurse Anesthetist · NPI 1972803468

Jacqueline Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Philadelphia, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3326
Fax: (215) 707-8028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7652 Woodbine Ave, Philadelphia, PA 19151-2721 — (215) 878-7077

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN528826L (PA)

Record details

NPI number1972803468
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 30, 2010
Last updated in NPPESApril 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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