MEDICARE: DR. JESSICA JOHNSON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20A10946	CA
2	207Q00000X	Family Medicine Physician	OS13664	FL

General Provider Information

NPI Number	:	1386969640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA JOHNSON DO

Provider Business Mailing Address
First Line	:	1106 WHITE ST
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-3327
Country	:	US
Telephone Number	:	305-204-7178
Fax Number	:	984-203-8463

Provider Business Practice Location Address
First Line	:	1106 WHITE ST
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-3327
Country	:	US
Telephone Number	:	305-204-7178
Fax Number	:	984-203-8463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	09/23/2021

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1952652430 — LAUREN CHANG DPT
Practice Location Address:

1114 WHITE ST
KEY WEST, FL
33040-3327

Practice Phone: 347-968-2458
Practice Fax:

1376306431 — ELEVATE PHYSICAL THERAPY AND PILATES
Practice Location Address:

1114 WHITE ST
KEY WEST, FL
33040-3327

Practice Phone: 347-968-2458
Practice Fax:

1497486237 — BRENT EDWARD MCNAMARA MA, LCADC
Practice Location Address:

1 RANDOLPH RD
WEST DEPTFORD, NJ
08096-3327

Practice Phone: 856-693-4699
Practice Fax:

1336275692 — MR. TIMOTHY WAYNE STANTON LICSW
Practice Location Address:

117 PARK AVE , SUITE 200
WEST SPRINGFIELD, MA
01089-3327

Practice Phone: 413-209-3124
Practice Fax: 413-209-3127

1992832414 — CHERYL ANN STEVENS MD, UNLICENSED
Practice Location Address:

117 PARK AVE , 200
WEST SPRINGFIELD, MA
01089-3327

Practice Phone: 413-209-3124
Practice Fax: 413-209-3127

Directions to “ DR. JESSICA JOHNSON DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.