MEDICARE: KAREN JOHNSON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10000367A	IN

General Provider Information

NPI Number	:	1003164575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN JOHNSON PA-C

Provider Business Mailing Address
First Line	:	55 BRENDON WAY
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1961
Country	:	US
Telephone Number	:	317-447-4532
Fax Number	:	317-981-3132

Provider Business Practice Location Address
First Line	:	55 BRENDON WAY STE 300
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1955
Country	:	US
Telephone Number	:	317-498-9834
Fax Number	:	317-981-3132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	05/08/2025

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Directions to “ KAREN JOHNSON PA-C” Practice Location

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