COURTNEY JOHNSON NPI 1164946752

NPI Information

Courtney Johnson is a surgical physician assistant in Bradenton, FL with 7 years of experience. Courtney Johnson NPI is 1164946752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

6015 POINTE WEST BLVD
BRADENTON, FL
ZIP 34209-525
Phone: (941) 792-1404
Fax: (941) 761-0712

The NPI 1164946752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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