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

Individual provider Physician Assistant · NPI 1346693231

MS. Jacqueline Brooke Johnson, PA-C is a Physician Assistant in Clearwater, Florida. Qualified in 2016, 10 years ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
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

430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Phone: (727) 461-6026
Fax: (727) 461-1492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 9109476 (FL)

Record details

NPI number1346693231
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 15, 2016
Last updated in NPPESOctober 13, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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