person
Mrs. Jennifer Anne Johnstad, PA-C
Medical Physician Assistant in San Diego, California
NPI 1336325620

Jennifer Anne Johnstad is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Jennifer Anne Johnstad practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for Jennifer Anne Johnstad is 1336325620 and holds a License No. 2492 (California).

The current practice location address for Jennifer Anne Johnstad is 5717 Pacific Center Blvd Ste 200, San Diego, CA and can be reached out via phone at 858-859-1188. You can also correspond with Jennifer Anne Johnstad through the mailing address at 5717 PACIFIC CENTER BLVD STE 200, SAN DIEGO, CA - 92121-4250 (mailing address contact number: 858-859-1188).

Location: 5717 Pacific Center Blvd Ste 200, San Diego, CA, 92121-4250
person
Provider Profile Details
NPI Number
1336325620
Provider Name
Jennifer Anne Johnstad
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5717 Pacific Center Blvd Ste 200, San Diego, CA, 92121-4250
Phone Number
858-859-1188
Fax Number
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5717 Pacific Center Blvd Ste 200
City
State
Zip
92121-4250
Phone Number
858-859-1188
Fax Number
person
Provider Business Mailing Address Details
Address
5717 Pacific Center Blvd Ste 200
City
State
Zip
92121-4250
Phone Number
858-859-1188
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA55545 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2492 (Arizona)
Definition
Definition to come...
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