MS. Nicole A Johnson, PA-C
MS. Nicole A Johnson, PA-C is a Physician Assistant in Carbondale, Illinois. Graduated from University of Nebraska College of Medicine in 2011, 15 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 15
- Trained at
- University of Nebraska College of Medicine
- Licensed in
- IL
- In the registry since
- 2007
- 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
405 W Jackson StCarbondale, IL 62901-1462
Phone: (618) 549-0721
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
- 8305 Express Drive, Marion, IL 62959 — (618) 993-0086
- 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085-002903 (IL) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 036-087287 (IL) |
Record details
| NPI number | 1033250576 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2007 |
| Last updated in NPPES | November 9, 2021 |
| Certification date | November 9, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Carbondale
-
Jenifer Marie Chambless, PA-C
300 W Oak St, Carbondale, IL 62901-1400 · (618) 536-6621
-
Miss. Alexis Elizabeth Lorinskas, PA-C
202 W Jackson St, Carbondale, IL 62901-1409 · (618) 457-0465
-
Diana B Moreland, PA-C
405 W Jackson St, Carbondale, IL 62901-1462 · (618) 549-0721
-
Mary Rosenhauer, PA-C
1350 Cedar Ct, Carbondale, IL 62901-5336 · (618) 529-2955
-
Mrs. Jennifer Ann Sanders, PA-C
409 W Oak St, Carbondale, IL 62901-1464 · (618) 529-4455