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

Individual provider Physician Assistant · NPI 1376135129

Carly Kristin Martha Johnson, PA-C is a Physician Assistant in Edina, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
Specialties on file
2
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

7373 France Ave S Ste 208
Edina, MN 55435-4598
Phone: (952) 835-1311
Fax: (952) 428-0095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Wesley Dr, Memphis, TN 38116-6426 — (901) 516-3700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14497 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376135129
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

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