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

Individual provider Physician Assistant · NPI 1225288376

Jennifer Holt Johnson, PA-C is a Physician Assistant in Draper, Utah. Qualified in 2008, 18 years ago. Practices with ENT Professional Association Services, an 18-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
18
Licensed in
UT
In the registry since
2008
Specialties on file
2
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

74 E 11800 S Ste 360
Draper, UT 84020-5006
Phone: (801) 260-3687
Fax: (801) 260-3688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7114800-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 7114800-8906 (UT)

Record details

NPI number1225288376
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESNovember 5, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ent Professional Association Services — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Draper