| NPI | 1851400428 |
|---|---|
| Former Name | JAYNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 007576-1) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-03-28 |