Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUCKER BOONE JOHNSON, PA-C
ActiveTUCKER BOONE JOHNSON, PA-C is a Surgical Physician Assistant healthcare provider located in EDINA, Minnesota. NPI 1598267676 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · EDINA, MN
Registration Details
- NPI Number
- 1598267676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2018 (8.479433802039 yrs)
- Last Updated
- Oct 25, 2021
- License
-
12064896-1206 (UT)
Practice Information
- Address
-
6525 FRANCE AVE S STE 200EDINA, MN, 554352176Browse MN providers · Browse ZIP 55435
- Phone
- 9529276501
- Fax
- 9526531433
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in EDINA, MN
| Name | Credential | NPI |
|---|---|---|
| RINA V SHAH | PA-C | 1861488140 |
| PHILLIP JAMES CRAIG | PA-C | 1659340669 |
| APRIL M OLSON | PA-C | 1659333169 |
| GRANT V. NELSON | PA-C | 1598700510 |
| SUZANNE RUDI | PA-C | 1407882269 |
| ANGELA K. STORLIE | PA-C | 1740211622 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.