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

Individual provider Pediatrics Physician · NPI 1508428301

Jessica Rae Johnson, MD is a Pediatrics Physician in Lawrence, Kansas. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2415 Massachusetts St
Lawrence, KS 66046-4827
Phone: (785) 832-4836
Fax: (785) 832-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2019023994 (MO)

Record details

NPI number1508428301
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2019
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address100 Kings Hwy S, Rochester, NY 14617-5504

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