Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDELLA JOHNSON, PA-C
ActiveIDELLA JOHNSON, PA-C is a Physician Assistant healthcare provider located in TAZEWELL, Tennessee. NPI 1073554523 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TAZEWELL, TN
Registration Details
- NPI Number
- 1073554523
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2006 (20.168379494864 yrs)
- Last Updated
- Dec 16, 2015
- License
-
670 (TN)
Practice Information
- Address
-
1610 TAZEWELL RDSUITE 201TAZEWELL, TN, 378793600Browse TN providers · Browse ZIP 37879
- Phone
- 4236268393
- Fax
- 4236268749
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TAZEWELL, TN
| Name | Credential | NPI |
|---|---|---|
| TERESA A RASMUSSEN | P.A.C. | 1437130408 |
| TONYA SHERELL APPERLEY | PA-C | 1467735365 |
| HALEY HENARD DEBUSK | PA | 1083169171 |
| KYLER VOGEL | PA-C | 1962071340 |
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.