Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jayden Jack Johnson

Individual provider Military Health Care Provider · NPI 1679464119

Jayden Jack Johnson is a Military Health Care Provider in Brookings, South Dakota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

527 5th Ave S Apt F6
Brookings, SD 57006-3340
Phone: (605) 924-0521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence E3904089
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence E3904089

Record details

NPI number1679464119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025