person
Jennie Santangelo Johnson, PA-C
Medical Physician Assistant in Fernandina Beach, Florida
NPI 1336190792

Jennie Santangelo Johnson is a Medical Physician Assistant based in Jacksonville, FL and is specialized in Medical. Jennie Santangelo Johnson practices in Fernandina Beach, FL and has the professional credentials of PA-C. The NPI Number for Jennie Santangelo Johnson is 1336190792 and holds a License No. PA9103620 (Florida).

The current practice location address for Jennie Santangelo Johnson is 1348 S 18Th St Ste 100, Fernandina Beach, FL and can be reached out via phone at 904-261-0878 and via fax at 904-277-7054.

Location: 1348 S 18Th St Ste 100, Fernandina Beach, FL, 32256-6004
person
Provider Profile Details
NPI Number
1336190792
Provider Name
Jennie Santangelo Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1348 S 18Th St Ste 100, Fernandina Beach, FL, 32256-6004
Phone Number
904-261-0878
Fax Number
904-277-7054
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
779795344A 01 GA GA MEDICAID
U7310Y 01 FL MEDICARE
292466800 05 FL
institution
Provider Business Practice Location Address Details
Address
1348 S 18Th St Ste 100
City
State
Zip
32034-4785
Phone Number
904-261-0878
Fax Number
904-277-7054
person
Provider Business Mailing Address Details
Address
1348 S 18Th St Ste 100
City
State
Zip
32034-4785
Phone Number
904-261-0878
Fax Number
904-277-7054
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9103620 (Florida)
Definition
Definition to come...
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