License Verification

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JENNIFER MARGARET JOHNSON

License Number: PA9109697

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9109697
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/08/2016
Address of Record
10503 San Jose Blvd
JACKSONVILLE, FL 32257
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6488 103RD STREET SUITE A
JACKSONVILLE, FL 32210
Address
2001 COUNTY ROAD 210
ST AUGUSTINE, FL 32092
Name Relationship Profession License Effective Date
BRIDGE, LAUREN ELIZABETH Supervising Prescribing Practitioner Medical Doctor 118630 01/22/2024
MCNAMEE, JUSTIN JAMES Supervising Prescribing Practitioner Osteopathic Physician 12888 08/22/2016
MUCCIOLO, PAUL MD Supervising Prescribing Practitioner Medical Doctor 69281 08/22/2016
RAMIA, MICHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 116871 08/22/2016
SISKO, MATTHEW DAVID Supervising Prescribing Practitioner Medical Doctor 111919 08/22/2016
WEINER, TRACY I DO Supervising Prescribing Practitioner Osteopathic Physician 7471 08/22/2016

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.