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JACKLYN A JOHNSON MD
NPI 1235751512
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since May 10, 2020
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-8095 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2025, May 10, 2020 (2 updates tracked since 2020).

About Jacklyn A Johnson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN A JOHNSON MD (NPI 1235751512) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1235751512
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKLYN A JOHNSONCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box 673Rochester, NY 14642-0001 · (585) 275-8095
Phone(585) 275-8095
Sole ProprietorNo
Enumeration DateMay 10, 2020
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1235751512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LURA L DEVEAU ANP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX MED
ROCHESTER, NY 14642
Monroe County (585) 275-7424
DUNCAN D WORMER MD
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6168
ELIZABETH A POWLEY NP
Nurse Practitioner (Family)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 273-3760
LAURA ANN CUSHMAN PHD
Clinical Neuropsychologist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-3271
DR. DEANNA LYNN GOHIL PHARM D
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-1028
MR. NILESH UTTAMRAM GOHIL RPH
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-1028
SHIRLEY S MANDEVILLE FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 276-3332
KAY L RUST NP
Nurse Practitioner (Family)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-5282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Johnson's NPI number?

The NPI number for Jacklyn Johnson is 1235751512. It was assigned to this individual provider in the NPPES registry on May 10, 2020.

Where is Jacklyn Johnson located?

Jacklyn Johnson practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-8095.

What is Jacklyn Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacklyn Johnson was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.