DESIREE L JOHNSON PA-C
NPI 1174589782
Physician Assistant in Fort Campbell, KY

Active since April 22, 2006
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8727 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desiree L Johnson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE L JOHNSON PA-C (NPI 1174589782) is an individual physician assistant in Fort Campbell, Kentucky, licensed in Texas (PA04614) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1174589782
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDESIREE L JOHNSONCredential: PA-C
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 779-8187 · Fax (270) 798-8224
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedAugust 23, 2023
NPI 1174589782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA04614
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA04614 (TX)
650 JOEL DR, Fort Campbell, KY 42223

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desiree Johnson's NPI number?

The NPI number for Desiree Johnson is 1174589782. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Desiree Johnson located?

Desiree Johnson practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8727.

What is Desiree Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Desiree Johnson was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.