Jessica Johns, PHYSICIAN ASSISTANT
NPI #1063084390 in Fort Campbell, Kentucky
Provider Information
- NPI Number
- 1063084390
- Entity Type
- Individual
- Name
- Jessica Johns, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Jul 15, 2021
Practice Location
- Address
- 5979 DESERT STORM AVE
- City
- Fort Campbell
- State
- Kentucky
- ZIP Code
- 42223-5514
- Phone
- (270) 798-4677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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