Individual provider · Type 1 NPI
Callie Lynn Johnson
Medical Physician Assistant · Louisville, KY
NPI number
1407735053
Active
Practice location
3015 Wilson Ave
Louisville, KY 40211-1969
Fax (833) 471-2827
Mailing address
125 Mountain View Dr
Rickman, TN 38580-2057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1407735053
Callie Lynn Johnson's National Provider Identifier is 1407735053, issued on Aug 28, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Louisville, KY. The record was last updated on Dec 18, 2025.