| Doctor Name: | MS. ANN JOHNSON |
| NPI Number: | 1023210689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C. |
| License Number: | PA 17782 |
| Business Practice Address: | 875 Blake Wilbur Dr Stanford, CA - 94305 |
| Business Phone Number: | 6507215448 |
| Business Fax Number: | |
| Mailing Address: | 875 Blake Wilbur Drive, STANFORD |
| State: | CA |
| Postal Code: | 943055826 |
| Phone Number: | 6507215448 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 05/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA 17782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |