Julie Jackson Johnson in Colorado Springs - Physician Assistant
Julie Jackson Johnson - NPI 1417112343
Julie Jackson Johnson is a Physician Assistant in Colorado Springs, Colorado. Julie Jackson Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Julie Jackson Johnson is 1417112343. The last update date is 2017-02-09.
Julie Jackson Johnson's current location address is 175 S Union Blvd, Colorado Springs, Colorado. You can contact this provider via phone number 7195907007 and fax number 7195907037. The mailing address for Julie Jackson Johnson is 175 S Union Blvd, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Jackson Johnson |
|---|---|
| Address | 175 S Union Blvd, Colorado Springs, Colorado |
| Phone Number | 7195907007 |
| Fax Number | 7195907037 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417112343 |
|---|---|
| Provider Enumeration Date | 2008-07-21 |
| Last Updated Date | 2017-02-09 |
Provider Mailing Address Detail
| Address | 175 S Union Blvd |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809103146 |
| Phone Number | 7195907007 |
| Fax Number | 7195907037 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2615 |
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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 10-digit identifier code issued to Julie Jackson Johnson by the Centers for Medicare & Medicaid Services?
The Julie Jackson Johnson has been assigned the NPI (National Provider Identifier) 1417112343 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Julie Jackson Johnson's physical address?
The Julie Jackson Johnson is physically located at 175 S Union Blvd, in the city of Colorado Springs, CO, with the postal code 809103146.
What is Julie Jackson Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Julie Jackson Johnson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417112343 to Julie Jackson Johnson?
The Julie Jackson Johnson received its 1417112343 assignment from the Centers for Medicare & Medicaid Services on 2008-07-21.
As of what date was the information regarding Julie Jackson Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Julie Jackson Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-09.