Johnson, Jessica Rodrigues

Johnson, Jessica Rodrigues is an individual health care provider with primary practice located at 3555 Lutheran Parkway Suite 340, Wheat Ridge CO 80033. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Johnson, Jessica Rodrigues can be contacted via phone (303) 996-6005.

Contact Information

Primary practice address
3555 Lutheran Parkway Suite 340 Wheat Ridge CO 80033
Phone: (303) 996-6005
Fax: (303) 420-8831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3223 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3223 Colorado

Profile Details

NPI number 1568759983
LBN Legal business name Johnson, Jessica Rodrigues
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Oct 26th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568759983 NPPES
Colorado MEDICAID 23722321

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