National Provider Identifier
Jacklyn A Johnson, MD
Jacklyn A Johnson, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-8095.
Source: public NPPES record, last updated September 15, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1235751512
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 10, 2020
- Last Updated
- September 15, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-8095
Mailing Address
- 601 Elmwood Ave
- Box 673
- Rochester, NY 14642-0001
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Browse Similar Providers
See more Student in an Organized Health Care Education/Training Program providers in Rochester, NY.
Open Student in an Organized Health Care Education/Training Program providers in Rochester, NY
Biography
Jacklyn Johnson, MD, is a child neurologist in Rochester and a pediatric epilepsy fellow at URMC. She earned her medical degree from Rutgers New Jersey Medical School in 2020, completed child neurology residency in June 2025, and previously participated in the Penry Pediatric Epilepsy Program in Winston-Salem. Her academic work includes epilepsy-related research, including a case series on vagus nerve stimulator-induced sleep-disordered breathing.
Full Record
- NPI
- 1235751512
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Jacklyn
- Middle Name
- A
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 673
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-8095
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-8095
- Enumeration Date
- May 10, 2020
- Last Updated
- September 15, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)