LATASHA J JOHNSON PA-C NPI 1326463639

NPI Information

NPI: 1326463639
Provider Name: LATASHA J JOHNSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH
ZIP 45433
Phone: (937) 257-9612
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Latasha J Johnson, PA-C is a medical physician assistant in Wright Patterson Afb, OH. Latasha J Johnson, PA-C NPI is 1326463639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH
ZIP 45433-529
Phone: (937) 257-9612

The enumeration date for this NPI number is 2/24/2014 and was last updated on 7/20/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		51405	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	51405	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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