Danielle Johnson, PA

Physician Assistant · Pekin, IL

Individual Active NPI

NPI number 1528365467

Practice location

1800 Broadway St
Pekin, IL 61554-3822
Phone
(309) 346-3416

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NPI record

NPI
1528365467
Entity type
Individual (Type 1)
Enumeration date
February 11, 2011
Last updated
February 11, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085003985 IL

Mailing address

5100 Reliable Pkwy
Chicago, IL 60686-0051
Phone
(309) 672-4809

About Danielle Johnson

Danielle Johnson, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1800 Broadway St, Pekin, IL 61554-3822. The NPI number 1528365467 was assigned on February 11, 2011 and the record was last updated on February 11, 2011.

Danielle Johnson lists a license in the registry: #085003985 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Danielle Johnson, PA?

The NPI number is 1528365467.

What is the phone number of Danielle Johnson?

The phone number listed for the practice location is (309) 346-3416.

Where is Danielle Johnson located?

1800 Broadway St, Pekin, IL 61554-3822.

What is the taxonomy code for Danielle Johnson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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