JENNIFER JOHNSTAD LLC
NPI 1316182926
Physician Assistant - Surgical in Tempe, AZ

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since December 10, 2008

2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282(480) 485-2158(480) 839-4727 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Johnstad Llc NPPES

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

JENNIFER JOHNSTAD LLC (NPI 1316182926) is a healthcare organization registered as a surgical in Tempe, Arizona and active in the NPI registry since December 2008. The organization lists Jennifer Anne Johnstad, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1316182926

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameJENNIFER JOHNSTAD LLC

Location Address2421 E SOUTHERN AVE, SUITE 1Tempe, AZ 85282-7612

Mailing Address2421 E Southern Ave, Suite 1Tempe, AZ 85282-7612 · (480) 485-2158 · Fax (480) 839-4727

Phone(480) 485-2158

Fax(480) 839-4727

Organization SubpartNo

Authorized OfficialJennifer Anne JohnstadPhysician Assistant · (480) 512-3970

Enumeration DateDecember 10, 2008

Last NPPES UpdateAugust 21, 2009

✔ NPI 1316182926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 2492

2421 E SOUTHERN AVE, Tempe, AZ 85282

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Other Identifiers 1

Medicare UPINP82782AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP