IndividualActive
Breena Johnson, PA-C
NPI 1982908075 · Surgical Physician Assistant · Petoskey, MI
Provider details
- NPI number
- 1982908075
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006233 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
416 Connable Ave
Petoskey, MI 49770-2212
Phone: (231) 330-4235
Approximate (ZIP-level) locationGet directions
Mailing address
790 Red Oak Way
Petoskey, MI 49770-2979
Registry dates
- Enumerated
- 2011-01-04
- Last updated
- 2014-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.