Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLE A JOHNSON, PA-C
Active Sole ProprietorMS. NICOLE A JOHNSON, PA-C is a Physician Assistant healthcare provider located in CARBONDALE, Illinois. NPI 1033250576 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CARBONDALE, IL
Registration Details
- NPI Number
- 1033250576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2007 (19.502760606326 yrs)
- Last Updated
- Nov 9, 2021
- Licenses
-
036-087287 (IL)085-002903 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 W JACKSON STCARBONDALE, IL, 629011462Browse IL providers · Browse ZIP 62901
- Phone
- 6185490721
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MARCIA KATE SCOTT | PA-C | 1801859384 |
| MICHAEL ANTHONY BRYANT | PA-C | 1871542811 |
| ISAAC A ROBERG | PA | 1447297676 |
| PATRICIA A BOUDET | PA | 1841237120 |
| MELODY HOF | PA-C | 1356379945 |
| DIANA B MORELAND | PA-C | 1467480905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.