Individual provider · Type 1 NPI

Marissa Irene Johnson, PA-C

Physician Assistant · Boston, MA

NPI number 1447703525 Active

Practice location

450 Brookline Ave
Boston, MA 02215-5450

Call (617) 278-0055 Map

Other practice locations

  • 41 Mall Rd, Burlington, MA 01805-6616 · (781) 744-8000
  • 489 State St, Bangor, ME 04401-6616 · (207) 973-7000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA1616 (ME)
Physician Assistant Primary 363A00000XPA9454 (MA)

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 1447703525

Marissa Irene Johnson, PA-C's National Provider Identifier is 1447703525, issued on Jul 26, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Jun 26, 2026.