Johnson, Tiy

Johnson, Tiy is an individual health care provider with primary practice located at 40 Autumn Fern Trl , Lillington NC 27546-5155. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Tiy can be contacted via phone (910) 364-0971.

Contact Information

Primary practice address
40 Autumn Fern Trl Lillington NC 27546-5155
Phone: (910) 364-0971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5119 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-14083 North Carolina

Profile Details

NPI number 1598146177
LBN Legal business name Johnson, Tiy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Mar 21st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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