Desiree L Johnson, PA-C
Desiree L Johnson, PA-C is a Surgical Physician Assistant in Fort Campbell, Kentucky. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
650 Joel DrFort Campbell, KY 42223-5318
Phone: (270) 798-8727
Show map & directions
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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 PA04614 (TX) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA04614 (TX) |
Record details
| NPI number | 1174589782 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | April 22, 2006 |
| Last updated in NPPES | January 22, 2024 |
| Certification date | August 23, 2023 |
Other providers in Fort Campbell
-
Nicholas Basham, PA
650 Joel Dr, Fort Campbell, KY 42223-5318 · (270) 412-5122
-
Mr. Terry G Davis, PA
Blanchfield Army Community Hospital 650 Joel Dr, Fort Campbell, KY 42223 · (270) 798-8372