Individual provider · Type 1 NPI

Brianne Lynn Johnsen, PA-C

Medical Physician Assistant · Boston, MA

NPI number 1275558652 Active

Practice location

55 Fruit St., Yawkey 2C
Boston, MA 02114

Other practice locations

  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-4000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X1215 (TN)
Physician Assistant 363A00000X4181 (MA)
Medical Physician Assistant Primary 363AM0700XPA00441 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1275558652

Brianne Lynn Johnsen, PA-C's National Provider Identifier is 1275558652, issued on Jul 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Jan 31, 2019.