NPI 1679464119

Jayden Jack Johnson

Practitioner Military Health Care Provider Brookings, SD

Practice location

Address: 527 5th Ave S APT F6, Brookings, SD 57006-3340
Phone: (605) 924-0521

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence E3904089

Other Military Health Care Provider providers in South Dakota →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X Licence E3904089

Other Emergency Medical Technician, Basic providers in South Dakota →

Registry record

NPI: 1679464119
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2025
Record last updated: 12 Jul 2025

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.