Johnson, Andrea Marie

Johnson, Andrea Marie is an individual health care provider with primary practice located at 350 N Cox St Ste 28 , Asheboro NC 27203-5514. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Andrea Marie can be contacted via phone (336) 629-6500.

Contact Information

Primary practice address
350 N Cox St Ste 28 Asheboro NC 27203-5514
Phone: (336) 629-6500
Fax: (336) 629-9500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103798 North Carolina

Profile Details

NPI number 1700939220
LBN Legal business name Johnson, Andrea Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700939220 NPPES
North Carolina MEDICAID 1700939220

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