JENNIFER C. ALLEN JOHNSON M.D. – NPI #1083680615
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JENNIFER ALLEN JOHNSON is a physician located in NAVARRE, FL. NPPES has assigned the NPI number 1083680615 to JENNIFER ALLEN JOHNSON on February 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JENNIFER CLAIRE ALLEN. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Mar 27, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER ALLEN JOHNSON below.

NPI Profile for
JENNIFER C. ALLEN JOHNSON

NPI Number
1083680615
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER C. ALLEN JOHNSON
Former Name: JENNIFER CLAIRE ALLEN
Credentials
M.D.
Primary location
8990 NAVARRE PARKWAY
PEDIATRIC DEPARTMENT
NAVARRE, FL 32566-2216
Phone: (850) 396-0108 Fax: (850) 939-4933
Mailing address
1005 MAR WALT DRIVE
ADMINISTRATION
FORT WALTON BEACH, FL 32547-6707
Phone: (850) 863-8100 Fax: (850) 863-4152
Sole Proprietor
No
Updated
Certification Date
Mar 27, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JENNIFER ALLEN JOHNSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAL009965240
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL ME144527
2080A0000X
- Pediatrics / Adolescent Medicine
AL 00004512

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.