Tracy Jo Johnson, PA-C Valid NPI

Individual provider · Physician Assistant · Lone Tree, CO

NPI

1184709347

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA.0001221 (CO)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-26

Last updated

2023-05-15