National Provider Identifier
Jillian Virginia Johnson, MD
Jillian Virginia 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 (920) 621-6446.
Profile Overview
- NPI
- 1689296931
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 09, 2020
- Last Updated
- July 24, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (920) 621-6446
Mailing Address
- 1547 South Ave
- Rochester, NY 14620-2927
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1689296931
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Jillian
- Middle Name
- Virginia
- Credential
- MD
- Provider Other Last Name
- Schommer
- Provider Other First Name
- Jillian
- Provider Other Middle Name
- Virginia
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1547 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2927
- Mailing Country
- US
- Mailing Phone
- (920) 621-6446
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (920) 621-6446
- Enumeration Date
- May 09, 2020
- Last Updated
- July 24, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 24, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)