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

Idella Johnson, PA-C

Individual provider Physician Assistant · NPI 1073554523

Idella Johnson, PA-C is a Physician Assistant in Tazewell, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1610 Tazewell Rd Ste 201
Tazewell, TN 37879-3600
Phone: (423) 626-8393
Fax: (423) 626-8749
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 670 (TN)

Record details

NPI number1073554523
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESDecember 16, 2015
Mailing address1610 Tazewell Rd, Suite 201, Tazewell, TN 37879-3600

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