Jennie M Johannesen, P.A.
NPI #1205889342 in Cooperstown, New York
Provider Information
- NPI Number
- 1205889342
- Entity Type
- Individual
- Name
- Jennie M Johannesen, P.A.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- May 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 ATWELL RD
- City
- Cooperstown
- State
- New York
- ZIP Code
- 13326-1301
- Phone
- (607) 547-3909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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