Individual provider · Type 1 NPI
Betty Lynne Johnson, PA-C
Medical Physician Assistant · Buies Creek, NC
NPI number
1093786675
Active
Practice location
Main Street, Campbell University
Buies Creek, NC 27506
Fax (910) 814-5567
Mailing address
231 Winding Oak Way
Clayton, NC 27520-4089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110840360 (VA) |
Medical Physician Assistant: Definition to come...
About NPI 1093786675
Betty Lynne Johnson, PA-C's National Provider Identifier is 1093786675, issued on Jan 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Buies Creek, NC. The record was last updated on Sep 30, 2011.