Jerry Johnson is a Physician Assistant in Omaha, Nebraska. Jerry Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerry Johnson is 1477661494. The last update date is 2007-07-08.
Jerry Johnson's current location address is 988095 Nebraska Medical Ctr, Omaha, Nebraska. You can contact this provider via phone number 4025599800 and fax number 4025599840. The mailing address for Jerry Johnson is 988095 Nebraska Medical Ctr, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Johnson |
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Address | 988095 Nebraska Medical Ctr, Omaha, Nebraska |
Phone Number | 4025599800 |
Fax Number | 4025599840 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1477661494 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 988095 Nebraska Medical Ctr |
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City | Omaha |
State | Nebraska (NE) |
Post Code | 681988095 |
Phone Number | 4025599800 |
Fax Number | 4025599840 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Jerry Johnson by the Centers for Medicare & Medicaid Services?
The Jerry Johnson has been issued the NPI (National Provider Identifier) 1477661494. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerry Johnson?
The Jerry Johnson is physically situated at 988095 Nebraska Medical Ctr, in the city of Omaha, state of NE, with the postal code 681988095.
What is Jerry Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Johnson's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Jerry Johnson receive the assignment of its 1477661494 from the Centers for Medicare & Medicaid Services?
The Jerry Johnson was issued its 1477661494 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the details pertaining to Jerry Johnson last refreshed?
The information related to the Jerry Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.