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

Individual provider Medical Physician Assistant · NPI 1710732177

Jessica Marie Johnson, PA-C is a Physician Assistant in Phoenix, Arizona. Graduated from University of South Carolina School of Medicine in 2024, 2 years ago. Practices with Momdoc LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Trained at
University of South Carolina School of Medicine
Licensed in
AZ
In the registry since
2024
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

10240 W Indian School Rd Ste 100
Phoenix, AZ 85037-5905
Phone: (480) 821-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10411 (AZ)

Record details

NPI number1710732177
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 19, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Momdoc Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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