13330 USF LAUREL DR
TAMPA, FL 33612-6601 US PECOS Enrolled
Ashley Brooke Austin Johnson
Nurse Practitioner (Adult Health)
- TAMPA, FL
- Phone: (813)-259-0600
- Last Updated 10/28/2019
Overview
Ashley Brooke Austin Johnson is a Nurse Practitioner (Adult Health) in the TAMPA area and has over 5 years of experience. Ashley Brooke Austin Johnson primary office location is at 13330 USF LAUREL DR and new patients are welcome to contact this healthcare provider for an appointment. She attended University Of South Florida College Of Medicine and graduated 2019
Ashley Brooke Austin Johnson is affiliated with one hospital in the TAMPA area, . The NPI number is 1003469412 and the information was updated approximately 5 years ago.
Ashley Brooke Austin Johnson is affiliated with one medical group in the TAMPA area, UNIVERSITY MEDICAL SERVICE ASSOCIATION INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| APRN11003302 | FL |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 104089100 | FL |
| BLUE CROSS BLUE SHIELD | LQ7QK | FL |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Adult Health) - Taxonomy Code 363LA2200X | FL | Y |
| Nurse Practitioner - Taxonomy Code 363L00000X | FL | N |
| Nurse Practitioner (Primary Care) - Taxonomy Code 363LP2300X | FL | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20191010002500 |
| PECOS Individual PAC ID: | 7810228525 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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