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General NPI Number Information
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NPI Number | 1265285985
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Entity Type | Individual
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Provider Name | JESSICA MORGAN JOHNSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 511 BATH ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-3403
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Country | US
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Telephone | 805-963-9377
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Fax | 805-962-2154
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Provider Business Mailing Address
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Address Line | 1350 KELSO DUNES AVE APT 912
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City | HENDERSON
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State | NV
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Zip | 89014-7855
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Country | US
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Telephone | 443-895-0306
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA65580
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License Number State | CA
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