Provider Profile
Listed in the NPI registry as a physician assistant, Jacqueline S. Johanson, P.A.-C practices in Grand Rapids, MI. Jacqueline graduated from Emory University School of Medicine in 2004.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
310 LAFAYETTE AVE SE STE 410
Grand Rapids, MI 49503
230 Michigan St NE Ste 230
Grand Rapids, MI 49503
Jacqueline S. Johanson is a physician assistant in Grand Rapids, MI. That is the designation recorded for this NPI in the federal registry.
NPI registry
Jacqueline S. Johanson is listed at 310 Lafayette Ave Se Ste 410, Grand Rapids, MI 49503. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (616) 685-8200. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Jacqueline S. Johanson's National Provider Identifier is 1952304982. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Jacqueline S. Johanson attended Emory University School of Medicine, graduating in 2004. This comes from the CMS National Downloadable File.
CMS public data
Jacqueline S. Johanson has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Jacqueline S. Johanson. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.