| Doctor Name: | MRS. BETTY LYNNE JOHNSON |
| NPI Number: | 1093786675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 0110840360 |
| Business Practice Address: | Main Street Campbell University Buies Creek, NC - 27506 |
| Business Phone Number: | 9108931779 |
| Business Fax Number: | 9108145567 |
| Mailing Address: | 231 Winding Oak Way, CLAYTON |
| State: | NC |
| Postal Code: | 275204089 |
| Phone Number: | 9199344365 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2006 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110840360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |