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ASHLEY JOHNSON PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1942728183

Individual Registrant:
 ASHLEY  JOHNSON PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
103 W PIONEER AVE  VIBORG, SD 57070 US
Tel: 605-326-5201  Fax: 605-326-5196

Contact information for business:
PO BOX 368  VIBORG, SD 57070-0368 US
Tel: (60-5) -326-3045  Fax: 605-326-5196

Registration Information:
NPI: 1942728183
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
SD1106

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICAL LICENSE1106SD01
NCCPA CERTIFICATION114550501




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