MS. Jacqueline Brooke Johnson, PA-C
NPI #1346693231 in Clearwater, Florida
Provider Information
- NPI Number
- 1346693231
- Entity Type
- Individual
- Name
- MS. Jacqueline Brooke Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 15, 2016
- Last Updated
- Oct 13, 2016
Practice Location
- Address
- 430 MORTON PLANT ST
- Address 2
- SUITE 301
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33756-3395
- Phone
- (727) 461-6026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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