Amanda Johnson, PA-C

Physician Assistant · Warren, MI

Individual Active NPI

NPI number 1649867151

Practice location

4700 E 13 Mile Rd
Warren, MI 48092-4438
Phone
(586) 576-0431

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NPI record

NPI
1649867151
Entity type
Individual (Type 1)
Enumeration date
December 30, 2020
Last updated
September 2, 2021
Certified
September 2, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — MI
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

42 W Warren Ave
Detroit, MI 48201-1347

Other practice locations (1)

  • 42 W Warren Ave, Detroit, MI 48201-1347 · (313) 577-2424

About Amanda Johnson

Amanda Johnson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4700 E 13 Mile Rd, Warren, MI 48092-4438. The NPI number 1649867151 was assigned on December 30, 2020 and the record was last updated on September 2, 2021.

Frequently asked questions

What is the NPI number of Amanda Johnson, PA-C?

The NPI number is 1649867151.

What is the phone number of Amanda Johnson?

The phone number listed for the practice location is (586) 576-0431.

Where is Amanda Johnson located?

4700 E 13 Mile Rd, Warren, MI 48092-4438.

What is the taxonomy code for Amanda Johnson?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

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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