MS. Jaclyn Marie Johnson, PA-C
MS. Jaclyn Marie Johnson, PA-C is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2022, 4 years ago. Licensed in Louisiana.
- Years since qualifying
- 4
- Licensed in
- LA
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Baton Rouge, LANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 332573 (LA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (LA) |
Record details
| NPI number | 1831838960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 27, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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