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

Jennifer Johansson, PA-C

Individual provider Dermatology Physician · NPI 1578816856

Jennifer Johansson, PA-C is a Physician Assistant in Liverpool, New York. Graduated from University of South Alabama College of Medicine in 2012, 14 years ago. Practices with Housel Dermatology PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
University of South Alabama College of Medicine
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

235 Greenfield Pkwy
Liverpool, NY 13088-6651
Phone: (315) 452-3376
Fax: (518) 479-3794
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016039 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 016039 (NY)

Record details

NPI number1578816856
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2012
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Housel Dermatology Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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