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

Jerry Johnson, PA

Individual provider Physician Assistant · NPI 1477661494

Jerry Johnson, PA is a Physician Assistant in Omaha, Nebraska. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

988095 Nebraska Medical Ctr
Omaha, NE 68198-8095
Phone: (402) 559-9800
Fax: (402) 559-9840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477661494
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address988095 Nebraska Medical Ctr, Omaha, NE 68198-8095

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