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

Jessica Marie Johnson, PA-C

Individual provider Physician Assistant · NPI 1124540588

Jessica Marie Johnson, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Eastern Aleutian Tribes, Inc, a 32-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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

5927 Old Timuquana Rd
Jacksonville, FL 32210-7889
Phone: (844) 937-4731
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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 number1124540588
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2017
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Eastern Aleutian Tribes, Inc. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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