Individual
ALLYSSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3909 ORANGE PL STE 2100, BEACHWOOD, OH 44122-8400
(216) 896-1800
Mailing address
9001 PORTAGE POINTE DR APT E107, STREETSBORO, OH 44241-5618
(216) 952-5151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-004905
OH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/12/2016
Last updated
01/13/2021
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