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

Individual provider Physician Assistant · NPI 1457995490

Ashley Lyn Johansson, PA-C is a Physician Assistant in Rockledge, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
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

830 Executive Ln Ste 150
Rockledge, FL 32955-3595
Phone: (321) 877-1800
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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 PA9112715 (FL)

Record details

NPI number1457995490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2019
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020

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