Heather K. Johnson, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1265705248
StatusActive
Last updated in NPPESSep 28, 2017
Details
- NPI
- 1265705248
- Entity type
- Individual (NPI-1)
- Name
- Heather K. Johnson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2012
- Last updated
- Sep 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA4264 | MA | Yes |
Practice location
725 Albany StShapiro 8, Suite A
Boston, MA 02118-2526
Phone 617-638-8419 · Fax 617-414-0201
Mailing address
720 Harrison Ave Ste 9600Dob Suite 9600
Boston, MA 02118-2343
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