Individual
VICTORIA W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
(423) 431-7042
(423) 431-9042
Mailing address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3679
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3679
STATE LICENSES
TN
Enumeration date
07/03/2018
Last updated
12/29/2025
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