| Jessica Johnson, CRNA | |
|
3580 W 9000 S, West Jordan, UT 84088-8812 | |
| (801) 561-8888 | |
| Not Available |
| Full Name | Jessica Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 3580 W 9000 S, West Jordan, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770094666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 66680743102 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nph Anesthesia Of Utah Llc | 9537584313 | 86 |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Entity Name | Nph Anesthesia Of Utah Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Johnson, CRNA 2221 Lakeside Blvd Ste 600, Richardson, TX 75082-4416 Ph: (469) 505-1634 | Jessica Johnson, CRNA 3580 W 9000 S, West Jordan, UT 84088-8812 Ph: (801) 561-8888 |
Casey Mckay Tanner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-601-2393 Fax: 801-601-2258 | |
James Harned, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-993-9527 | |
Max H Shurtliff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3580 W 9000 S, West Jordan, UT 84070 Phone: 801-993-9527 Fax: 801-733-5872 | |
Brandon Michael Allen, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Brady Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 509-217-0698 |