| Jennifer Johnson, PA-C | |
|
1244 S Ocean Shore Blvd, Flagler Beach, FL 32136-3703 | |
| (315) 586-2336 | |
| Not Available |
| Full Name | Jennifer Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1244 S Ocean Shore Blvd, Flagler Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407300460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109697 (Florida) | Primary |
| Entity Name | Fl-i Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
| Entity Name | St Vincent's Full Service Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20130220000322 |
| Entity Name | Dispatchhealth-florida Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407472723 PECOS PAC ID: 2668899220 Enrollment ID: O20200827000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Johnson, PA-C 1244 S Ocean Shore Blvd, Flagler Beach, FL 32136-3703 Ph: Not Available | Jennifer Johnson, PA-C 1244 S Ocean Shore Blvd, Flagler Beach, FL 32136-3703 Ph: (315) 586-2336 |
Ms. Michelle Chandler, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9 Windsong Cv, Flagler Beach, FL 32136 Phone: 321-295-3781 |