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NPI Code Detail

MEDICARE: ADRENA ELAINE JOHNSON PA-C

MEDICARE: ADRENA ELAINE 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
1363A00000XPhysician Assistant100672NC
2363A00000XPhysician Assistant3692NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100672OTHERNCPA-C

General Provider Information

NPI Number : 1225144231
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRENA ELAINE JOHNSON PA-C
Provider Business Mailing Address
First Line : 47 PINE RIDGE TRL
Second Line :
City : ARDEN
State : NC
Zip : 28704-9483
Country : US
Telephone Number : 336-294-0919
Fax Number :
Provider Business Practice Location Address
First Line : 551 BREVARD RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28806-2316
Country : US
Telephone Number : 828-212-7021
Fax Number : 828-232-8218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 06/02/2026

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Directions to “ ADRENA ELAINE JOHNSON PA-C” Practice Location

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