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

Jennifer Lynn Johnson, PA-C

Individual provider Physician Assistant · NPI 1205100583

Jennifer Lynn Johnson, PA-C is a Physician Assistant in Roanoke, Virginia. Licensed in Virginia and West Virginia. Registered with an NPI since 2012.

Licensed in
VA, WV
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.

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Practice location Address checks out

5060 Valley View Blvd NW
Roanoke, VA 24012-2038
Phone: (540) 278-1051
Fax: (540) 278-1052
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004411 (VA)
Physician Assistant Taxonomy 363A00000X (WV)

Record details

NPI number1205100583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2012
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021

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