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Miss Kerry Lynn Johnson, PA
Physician Assistant in Port Jefferson, New York
NPI 1558665414

Kerry Lynn Johnson is a Physician Assistant based in New York, NY. Kerry Lynn Johnson practices in Port Jefferson, NY and has the professional credentials of PA. The NPI Number for Kerry Lynn Johnson is 1558665414 and holds a License No. 014438 (New York).

The current practice location address for Kerry Lynn Johnson is 635 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-0008 and via fax at 631-474-0224.

Location: 635 Belle Terre Rd, Port Jefferson, NY, 10023-2661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558665414
Provider Name
Kerry Lynn Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
635 Belle Terre Rd, Port Jefferson, NY, 10023-2661
Phone Number
631-474-0008
Fax Number
631-474-0224
Provider Enumeration Date
01/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113422995 01 NY TAX ID #
institution
Provider Business Practice Location Address Details
Address
635 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1935
Phone Number
631-474-0008
Fax Number
631-474-0224
person
Provider Business Mailing Address Details
Address
635 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1935
Phone Number
631-474-0008
Fax Number
631-474-0224
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
014438 (New York)
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.
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