Jedidiah Johnson, HS1, IDC

Individual Active
NPI 1114000130
Independent Duty Corpsman Homer, AK

Jedidiah Johnson, HS1, IDC is an independent duty corpsman practicing in Homer, AK. The NPI was issued on October 23, 2006, and the record was last updated in NPPES on October 8, 2013. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X (CA)
Other Technician 247200000X Not listed

Practice location

4688 Homer Spit Rd
Homer, AK 99603-8001
Phone: (360) 567-8238

Local context

Active NPPES records list 1 provider with independent duty corpsman as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 14 in Alaska and 3,581 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jedidiah E. Johnson
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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