Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennie Santangelo Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1336190792

Jennie Santangelo Johnson, PA-C is a Physician Assistant in Fernandina Beach, Florida. Qualified in 2005, 21 years ago. Practices with Borland Groover Clinic, PA, a 126-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1348 S 18th St Ste 100
Fernandina Beach, FL 32034-4785
Phone: (904) 261-0878
Fax: (904) 277-7054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1542 Kingsley Ave, Orange Park, FL 32073-4586 — (904) 579-3189

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103620 (FL)

Record details

NPI number1336190792
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Borland Groover Clinic, Pa — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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