Delisha M Johnson in Port Orchard - Physician Assistant
Delisha M Johnson - NPI 1114030566
Delisha M Johnson is a Physician Assistant in Port Orchard, Washington. Delisha M Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Delisha M Johnson is 1114030566. The last update date is 2011-02-09.
Delisha M Johnson's current location address is 320 S Kitsap Blvd, Port Orchard, Washington. You can contact this provider via phone number 3608767215 and fax number 3608766721. The mailing address for Delisha M Johnson is 320 S Kitsap Blvd, Port Orchard, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Delisha M Johnson |
|---|---|
| Address | 320 S Kitsap Blvd, Port Orchard, Washington |
| Phone Number | 3608767215 |
| Fax Number | 3608766721 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1114030566 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2011-02-09 |
Provider Mailing Address Detail
| Address | 320 S Kitsap Blvd |
|---|---|
| City | Port Orchard |
| State | Washington (WA) |
| Post Code | 983663778 |
| Phone Number | 3608767215 |
| Fax Number | 3608766721 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004048 |
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Definition: 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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8321150 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Delisha M Johnson by the Centers for Medicare & Medicaid Services?
The Delisha M Johnson has been issued the NPI (National Provider Identifier) 1114030566. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Delisha M Johnson is located?
The Delisha M Johnson is situated at the following address: 320 S Kitsap Blvd, Port Orchard, WA, 983663778.
What is the area of specialization for Delisha M Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Delisha M Johnson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Delisha M Johnson receive its 1114030566?
The Delisha M Johnson was issued its 1114030566 on 2006-08-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Delisha M Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Delisha M Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-09.
NPI Number: 1982607784
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