Individual provider · Type 1 NPI

Tamara A. Johnson, PA-C

Physician Assistant · St. Louis Park, MN

NPI number 1023206935 Active

Practice location

6490 Excelsior Blvd, Ste W200
St. Louis Park, MN 55426-4705

Mailing address

6465 Wayzata Blvd, Ste 210
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1045 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023206935

Tamara A. Johnson, PA-C's National Provider Identifier is 1023206935, issued on Oct 5, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 5, 2007.