Individual provider · Type 1 NPI

Amanda Jean Johnson, PA-C

Surgical Physician Assistant · Madison, WI

NPI number 1679569024 Active

Practice location

4621 Eastpark Blvd
Madison, WI 53718-2000

Call (608) 915-0100 Map

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 1821 S Stoughton Rd, Dean Medical Center, Madison, WI 53716-2257 · (608) 260-6000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2394 (WI)
Medical Physician Assistant 363AM0700X2394-023 (WI)

Surgical Physician Assistant: Definition to come...

35 other providers at this address

Other surgical physician assistant providers in Madison

See all in Madison →

About NPI 1679569024

Amanda Jean Johnson, PA-C's National Provider Identifier is 1679569024, issued on Sep 21, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Jan 30, 2026.