MRS. Kelly Jackson Johnson, PA-C
NPI #1235412982 in Herrin, Illinois
Provider Information
- NPI Number
- 1235412982
- Entity Type
- Individual
- Name
- MRS. Kelly Jackson Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 20, 2011
- Last Updated
- Feb 23, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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