MS. NICOLE A JOHNSON


Address: 8305 Express Drive, Suite C, Marion, IL 62959
Phone: 6189930086

MS. NICOLE A JOHNSON (NPI# 1033250576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033250576
Entity Type Individual
Full Name MS. NICOLE A JOHNSON
Credential PA-C
Practice Address 8305 Express Drive
Suite C
Marion
IL 62959
Mailing Address Po Box 1433
Murphysboro
IL 62966
Practice Telephone 6189930086
Practice Fax Number 6189930088
Mailing Telephone (618) 993-0086
Mailing Fax Number 6189930088
Enumeration Date 2007-02-09
Last Update Date 2017-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085-002903 IL Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
036-087287 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL PA LICENSE NUMBER 085-002903 01

Other Providers NICOLE JOHNSON

NPI Name Taxonomy Address Enumeration
1578188991 Nicole Lynn Johnson Occupational Therapist 2616 Overlake Ave, Orlando, FL 32806-7353 2020-06-11
1861015893 Nicole Johnson Registered Nurse 5794 193rd St W, Farmington, MN 55024-9579 2020-05-26
1255969705 Nicole Rochshel Johnson Home Health Aide 4045 Regina Coeli Ct, Marrero, LA 70072-6354 2020-03-31
1942859038 Nicole Johnson Developmental Therapist 7355 13th Ave Nw, Seattle, WA 98117-5306 2019-09-10
1053974360 Nicole Johnson Student in an Organized Health Care Education/Training Program 28741 Appletree, Mission Viejo, CA 92692-1088 2019-04-22
1750868212 Nicole Marie Johnson Psychologist 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 2018-07-26
1295228310 Nicole Marie Johnson Technician 2807 Douglass Pl Se, Washington, DC 20020-4420 2018-06-13
1922512078 Nicole Johnson Occupational Therapy Assistant 1498 Port Malabar Blvd Ne, Palm Bay, FL 32905-5240 2017-11-28
1083133490 Nicole Rebecca Liu Johnson Psychologist 20826 2nd Ave W, Lynnwood, WA 98036-7256 2017-09-18
1871010967 Nicole Lynne Johnson Counselor 800 Gallia Street Suite 600, Portsmouth, OH 45662 2017-08-29

Office Location

Street Address 8305 EXPRESS DRIVE
SUITE C
City MARION
State IL
Zip Code 62959

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1528609328 Patricia E Murphy Radiology 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 2019-10-02
1366007007 Centerstone of Illinois, Inc Community/Behavioral Health 202 S Bentley St, Marion, IL 62959 2019-05-08
1649752064 Sydney Seiter Occupational Therapist 906 Skyline Suite 100, Marion, IL 62959 2018-09-01
1497279848 Brooke Alisa Osman Licensed Practical Nurse 11531 Sunderland Road, Marion, IL 62959 2017-07-27
1912436429 Joy L. Kee Social Worker 509 South Bentley Street, Marion, IL 62959 2017-06-08
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1205280922 Harish Kempegowda Orthopaedic Surgery 3331 W Deyoung St Ste 201, Marion, IL 62959 2016-04-19
1942609227 Casey Hill Social Worker 1604 W. Walnut St., Marion, IL 62959 2014-08-22
1306252812 Justin M White Chiropractor 1603 W Kimmel, Marion, IL 62959 2014-07-03
Find all providers in zip 62959

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336755297 Taylor Jones Physician Assistant 583 Fowler St, Marion, VA 24354-2203 2020-09-16
1891316212 Amanda Roye Physician Assistant 1812 Colonial Dr, Marion, IL 62959-6459 2020-04-27
1932646205 Courtney Abrams Physician Assistant 472 Rankin Dr., Marion, NC 28752 2017-01-25
1982152401 Katryna Horton Physician Assistant 115 Allen Cv, Marion, AR 72364-8001 2016-09-13
1942592324 Jennifer Nicole Smith Physician Assistant 5623 Us 221 S, Marion, NC 28752-7028 2011-05-04
1174832893 Amanda Rae Reaney Physician Assistant 3204 Cherokee Dr, Marion, IL 62959-5255 2010-09-29
1528186947 Sandra Grazulewicz Physician Assistant 130 Finley Gayle Dr, Marion, VA 24354-3141 2007-03-26
1346377199 Steven Lee Martinez Physician Assistant 3003 Civic Circle Blvd Ste 200, Marion, IL 62959-5259 2007-02-28
1235215633 Jennifer L Alexander Physician Assistant 3106 Outer Drive, Marion, IL 62959 2006-10-27
1083798276 Mitchell S Swieca Physician Assistant 3331 West Deyoung St, Suite 105, Marion, IL 62959 2006-10-24
Find all providers in MARION

Competitor

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City MARION
Zip Code 62959

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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