Ashley Lyn Johansson, PA-C

NPI #1457995490 in Rockledge, Florida

Provider Information

NPI Number: 1457995490
Entity Type: Individual
Name: Ashley Lyn Johansson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 2, 2019
Last Updated: May 22, 2020

Practice Location

Address: 830 EXECUTIVE LN STE 150
City: Rockledge
State: Florida
ZIP Code: 32955-3595
Phone: (321) 877-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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