Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Johnson, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649867151

Amanda Johnson, PA-C is a Student in an Organized Health Care Education/Training Program in Warren, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4700 E 13 Mile Rd
Warren, MI 48092-4438
Phone: (586) 576-0431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

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

Record details

NPI number1649867151
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 30, 2020
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address42 W Warren Ave, Detroit, MI 48201-1347

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