Johnson, Jerry Allen

Johnson, Jerry Allen is an individual health care provider with primary practice located at 1201 Sam Bass Road , Round Rock TX 78681-4137. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Jerry Allen can be contacted via phone (512) 388-1861.

Contact Information

Primary practice address
1201 Sam Bass Road Round Rock TX 78681-4137
Phone: (512) 388-1861
Fax: (512) 388-0373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00163 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00163 Texas

Profile Details

NPI number 1780779140
LBN Legal business name Johnson, Jerry Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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