Search › Indiana › 363A00000X
Jacqueline Johnson, PA-C
NPI 1356617021 · on the registry since 2012
Practice
- Address
- 8955 W 400 N
Michigan City, IN 46360 - Phone
- (219) 861-5800
- Fax
- (219) 861-5543
- Clinicians at this address
- 8
Additional practice sites
- 1500 Duarte Rd, Duarte, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IN, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana