Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke Johnson, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962946517

Brooke Johnson, PA-C is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in Minnesota and New York. Registered with an NPI since 2016.

Licensed in
MN, NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 884-0649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12341 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)
Physician Assistant Taxonomy 363A00000X (MN)

Record details

NPI number1962946517
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2016
Last updated in NPPESOctober 11, 2018

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