person
Mrs. Shannon Elizabeth Johnson, PA-C
Medical Physician Assistant in Dryden, New York
NPI 1922178045

Shannon Elizabeth Johnson is a Medical Physician Assistant based in Homer, NY and is specialized in Medical. Shannon Elizabeth Johnson practices in Dryden, NY and has the professional credentials of PA-C. The NPI Number for Shannon Elizabeth Johnson is 1922178045 and holds a License No. 007939-1 (New York).

The current practice location address for Shannon Elizabeth Johnson is 83 Lewis St, Dryden, NY and can be reached out via phone at 607-844-8201 and via fax at 607-844-4922.

Location: 83 Lewis St, Dryden, NY, 13077-9418
person
Provider Profile Details
NPI Number
1922178045
Provider Name
Shannon Elizabeth Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
83 Lewis St, Dryden, NY, 13077-9418
Phone Number
607-844-8201
Fax Number
607-844-4922
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
83 Lewis St
City
State
Zip
13053
Phone Number
607-844-8201
Fax Number
607-844-4922
person
Provider Business Mailing Address Details
Address
83 Lewis St
City
State
Zip
13053
Phone Number
607-844-8201
Fax Number
607-844-4922
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
007939-1 (New York)
Definition
Definition to come...
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