Abigail K Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780366815

Abigail K Johnson is a Student in an Organized Health Care Education/Training Program in Highland, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in: MO
In the registry since: 2023
Specialties on file: 2

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Practice location Address checks out

213 Mirabeau
Highland, IL 62249-4898
Phone: (618) 334-7897

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 2024034310 (MO)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1780366815
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	August 7, 2023
Last updated in NPPES	October 17, 2024
Certification date	October 17, 2024
Mailing address	213 Mirabeau, Highland, IL 62249-4898