| Jennifer White Johnson, MD | |
|
4900 Kelley Highway, Fort Smith, AR 72904-5000 | |
| (479) 785-5700 | |
| (479) 785-5708 |
| Full Name | Jennifer White Johnson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4900 Kelley Highway, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427109552 | NPI | - | NPPES |
| 143530001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E2929 (Arkansas) | Primary |
| Entity Name | Johnson Dermatology Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437110962 PECOS PAC ID: 4789688615 Enrollment ID: O20060908000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer White Johnson, MD Po Box 130, Ratcliff, AR 72951-0130 Ph: (479) 635-5300 | Jennifer White Johnson, MD 4900 Kelley Highway, Fort Smith, AR 72904-5000 Ph: (479) 785-5700 |
Dr. Kevin Allen Davis, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 501-593-3845 | |
Casey D Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Dr. Merle E Mcclain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7001 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077 | |
Kathryn Denise Hendrickson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7303 Rogers Ave, Fort Smith, AR 72903 Phone: 479-478-7200 Fax: 478-478-7225 | |
Dr. Charles Henry Floyd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3304 Newport Pl, Fort Smith, AR 72903 Phone: 479-651-4543 | |
Manar S Ibrahim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 S Waldron Rd, Ste 100, Fort Smith, AR 72903 Phone: 479-709-7337 Fax: 479-709-7461 | |
Joshua R Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 Phone: 479-763-3050 Fax: 479-763-3281 |