| Doctor Name: | MRS. JESSICA MARIE JOHNSON |
| NPI Number: | 1407197734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP012520 |
| Business Practice Address: | 4284 William Flynn Hwy Suite 102 Allison Park, PA - 15101 |
| Business Phone Number: | 4122191160 |
| Business Fax Number: | |
| Mailing Address: | 200 Lothrop Street, Upmc Community Medicine Inc. PITTSBURGH |
| State: | PA |
| Postal Code: | 15213 |
| Phone Number: | 8144503709 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP012520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |