NPI 1003042664

Jesse Thomas Johnson, PA

Practitioner Medical Physician Assistant Brooklyn, NY

Practice location

Address: 3201 Kings Hwy, Brooklyn, NY 11234-2625
Phone: (718) 951-2901

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 013190 (NY)

Other Physician Assistant providers in New York →

Registry record

NPI: 1003042664
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2009
Record last updated: 19 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.