Individual provider · Type 1 NPI

Denise Smith Johnson, PA-C

Physician Assistant · Waldorf, MD

NPI number 1124226147 Active

Practice location

12101 Old Line Ctr
Waldorf, MD 20602-2552

Fax (301) 705-9720

Mailing address

5406 Ingleboro Ct
Capitol Heights, MD 20743-3047

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0002293 (MD)
Physician Assistant 363A00000XPA30173 (DC)

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 1124226147

Denise Smith Johnson, PA-C's National Provider Identifier is 1124226147, issued on Jul 11, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waldorf, MD. The record was last updated on Jun 18, 2013.