Jennifer Johnson (NPI# 1407300460, PAC ID# 1557658861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407300460 |
| PAC ID by PECOS | 1557658861 |
| Professional Enrollment ID | I20160929000964 |
| Full Name | Jennifer Johnson |
| Organization Legal Name | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Address |
6488 103rd St Suite A Jacksonville FL 32210-7130 |
| Phone Number | 9044506800 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183879364 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 9044506700 | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| 5501 Roosevelt Blvd, Jacksonville, FL 32244-2345 | 9046839662 | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 | 9044506800 | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Organization Legal Name | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystle Williams Swain | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 615 Pendleton St, Waycross, GA 31501-4724 |
| Lauren W Bell | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Robert Weber | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 5501 Roosevelt Blvd, Jacksonville, FL 32244-2345 |
| Jessica M Johnson | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Farid Ahmed | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Ralph Badanowski | Emergency Medicine | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Sarah Katherine Curtis | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Thomas Williams | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 |
| Michael L Cordova | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 |
| Andrea Janan Albritton | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 615 Pendleton St, Waycross, GA 31501-4724 |
| Street Address |
6488 103RD ST SUITE A |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32210-7130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Jessica M Johnson | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Deogracias Remandaban Agnila | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Douglas R Ogburn | Physician Assistant | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Brittany Lee Martens | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Dale Tucker | Family Medicine | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Vicki Teal | Nurse Practitioner | St Vincent's Full Service Urgent Care, LLC | 6488 103rd St, Suite A, Jacksonville, FL 32210-7130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jairo A De La Hoz | Family Medicine | 5233 Ricker Rd, Suite 101, Jacksonville, FL 32210-1439 | |
| Patrick Opachich | Chiropractic | 1610 Blanding Blvd, Jacksonville, FL 32210-1804 | |
| Clifford H Spohr | Diagnostic Radiology | Elite Imaging LLC | 4171 Roosevelt Blvd, Jacksonville, FL 32210-1837 |
| Kristie Driver | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Aishah Covington Simms | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Joseph M Glick | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Curtis M Bleau | Podiatry | Podiatry Associates of Florida Inc | 1824 Blanding Blvd, Jacksonville, FL 32210-1904 |
| Jesse P Mcrae | Allergy/immunology | Jesse P Mcrae M D P A | 1727 Blanding Blvd, Jacksonville, FL 32210-1949 |
| Chalermchai Punya | General Practice | Lakeshore Medical Care Center, Inc | 4570 San Juan Ave, Suite 2, Jacksonville, FL 32210-2051 |
| David A Edwards | Chiropractic | Edwards Chiropratic Offices Pa | 4558 San Juan Ave, Jacksonville, FL 32210-2051 |
| Find all physicians in zip 32210 | |||
| City | JACKSONVILLE |
| Zip Code | 32210 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.