NPI
Amanda Jean Johnson
NPI 1679569024
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2005-09-21
- Last updated
- 2026-01-30
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Specialties
Licenses
- License WI
- 2394
- License WI
- 2394-023
Location
- Practice location
- 4621 Eastpark Blvd
- City
- Madison WI
- Postal code
- 53718-2000
- Phone
- (608) 915-0100
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Madison, WI. 16,734 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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