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Licensee Information

Evan Simone Johnson - PA-C
0010-14787
Active
No
10/23/2024
09/26/2026

Active Supervisor

NameTypeStatusApprovedInactive
Kurup, Sunil Radhakrishna, MD MD Active 03/04/2026
Mele, Phillip Michael, Jr., DO DO Active 05/11/2026
Stotland, Mitchell Brandon, MD MD Active 11/11/2025
Vichich, Robert David, MD MD Active 11/11/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
California
Colorado
Connecticut
Delaware
Florida
Idaho
Illinois
Iowa
Massachusetts
Michigan
Minnesota
Montana
Nevada
New York
Ohio
Texas
Utah
Virginia
Washington
Wisconsin

Out of Country Active/Inactive Licenses

Country
None Reported

Address

Henry Meds
580 California Street, Suite 1200
San Francisco, CA 94104

Information

PA School

SchoolGraduation
Baylor College Of Medicine Physician Assistant Program [Houston, TX]2020

Area of Practice

Area Of PracticePrimary
TelemedicineYes

Current Membership in Medical Professional Organizations

Membership
None Reported

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 7/29/2026 8:57:55 AM

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