Jenelle Kristine Johnson

NPI #1891277174 in Talkeetna, Alaska

Provider Information

NPI Number: 1891277174
Entity Type: Individual
Name: Jenelle Kristine Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 3, 2018
Last Updated: Jan 29, 2020

Practice Location

Address: 34300 S TALKEETNA SPUR ROAD
City: Talkeetna
State: Alaska
ZIP Code: 99676-9701
Phone: (907) 733-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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