Jacqueline Johanson, P.A.-C

Individual Active
NPI 1952304982
Physician Assistant Grand Rapids, MI

Jacqueline Johanson, P.A.-C holds NPI 1952304982, with a primary taxonomy of physician assistant and a practice location in Grand Rapids, MI. The number was issued on May 23, 2005 and the NPPES record was last updated on December 28, 2021. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X 5601008301 (MI)

Practice locations

310 Lafayette Ave SE Ste 410
Grand Rapids, MI 49503-4693
Phone: (616) 685-8200
230 Michigan St NE Ste 230
Grand Rapids, MI 49503-1709
Phone: (404) 355-3161

Local context

Active NPPES records list 1,178 providers with physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 1,048 of them within 10 miles.

The same primary taxonomy is listed by 7,142 in Michigan and 166,945 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
Mrs. Jacqueline S Johanson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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