Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1720A MEDICAL PARK DR STE 220, BILOXI, MS 39532-2127
(228) 230-2663
(228) 206-6858
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 206-6858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
337806
LA
363A00000X
Physician Assistant
Primary
PA00704
MS
Other
Enumeration date
02/03/2014
Last updated
08/05/2025
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