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

Mr. Jake Wyatt Johnson, PA-C

Individual provider Physician Assistant · NPI 1982560629

Mr. Jake Wyatt Johnson, PA-C is a Physician Assistant in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2025.

Licensed in
NV
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9888 Wittig Ave
Las Vegas, NV 89149-1363
Phone: (623) 692-9633
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3377 (NV)

Record details

NPI number1982560629
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2025
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025

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