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

Jayden Jack Johnson

Individual provider Military Health Care Provider · NPI 1679464119

Jayden Jack Johnson is a Military Health Care Provider in Brookings, South Dakota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

527 5th Ave S Apt F6
Brookings, SD 57006-3340
Phone: (605) 924-0521
Show map & directions

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

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence E3904089
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence E3904089

Record details

NPI number1679464119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025
Mailing address527 5th Ave S Apt F6, Brookings, SD 57006-3340