Individual provider · Type 1 NPI

Kelly Jackson Johnson, PA-C

Physician Assistant · Herrin, IL

NPI number 1235412982 Active

Practice location

510 Lincoln Dr
Herrin, IL 62948-6334

Call (618) 997-6800 Map

Fax (618) 997-1187

Mailing address

4787 Alben Barkley Dr, Suite 103
Paducah, KY 42001-6789

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA1637 (KY)

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 1235412982

Kelly Jackson Johnson, PA-C's National Provider Identifier is 1235412982, issued on Sep 20, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Herrin, IL. The record was last updated on Feb 23, 2017.