Individual provider · Type 1 NPI

Idella Johnson, PA-C

Physician Assistant · Tazewell, TN

NPI number 1073554523 Active

Practice location

1610 Tazewell Rd, Suite 201
Tazewell, TN 37879-3600

Call (423) 626-8393 Map

Fax (423) 626-8749

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X670 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073554523

Idella Johnson, PA-C's National Provider Identifier is 1073554523, issued on Jun 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tazewell, TN. The record was last updated on Dec 16, 2015.