Individual provider · Type 1 NPI

Connor Lee Johnson, PA

Physician Assistant · Provo, UT

NPI number 1982443065 Active

Practice location

395 W Cougar Blvd
Provo, UT 84604-3311

Call (801) 357-7081 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14271190-1206 (UT)
Medical Physician Assistant 363AM0700X14271190-1206 (UT)
Medical Physician Assistant 363AM0700XPA.0009589 (CO)

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 1982443065

Connor Lee Johnson, PA's National Provider Identifier is 1982443065, issued on May 20, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Feb 24, 2026.