Individual provider · Type 1 NPI

Olivia Dell Johnson, PA-C

Medical Physician Assistant · Indianapolis, IN

NPI number 1861169914 Active

Practice location

8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193

Other practice locations

  • 2001 W 86th St, Indianapolis, IN 46260-1902 · (317) 338-2345

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10003419A (IN)

Medical Physician Assistant: Definition to come...

53 other providers at this address

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About NPI 1861169914

Olivia Dell Johnson, PA-C's National Provider Identifier is 1861169914, issued on Aug 26, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 8, 2021.