Individual provider · Type 1 NPI

Marissa Johnson, PA-C

Physician Assistant · Austin, TX

NPI number 1629474028 Active

Practice location

8015 Shoal Creek Blvd Ste 103
Austin, TX 78757-8051

Call (512) 467-7246 Map

Fax (512) 467-7247

Mailing address

7951 Shoal Creek Blvd Ste 300, Suite 201
Austin, TX 78757-7582

Other practice locations

  • 3613 Williams Dr Ste 802, Georgetown, TX 78628-1374 · (512) 467-7246

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1629474028

Marissa Johnson, PA-C's National Provider Identifier is 1629474028, issued on Nov 12, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Austin, TX. The record was last updated on Nov 26, 2025.